盐酸罗哌卡因在腹腔镜下腹股沟疝补片修补术后镇痛中的应用

The application of ropivacaine hydrochloride in postoperative analgesia for laparoscopic repair of inguinal hernia

目的探讨腹腔镜下腹股沟疝补片修补术(IPOM)中切口内注入盐酸罗哌卡因对减轻术后疼痛的可行性。方法 64例患者分为观察组和对照组。观察组患者缝合腹壁切口前向A、B点切口均局部注入0.75%盐酸罗哌卡因2 ml,C点穿刺口局部注入0.75%盐酸罗哌卡因5 ml。对照组为空白对照,手术切口不注射任何药物。对两组患者术后2、4、8、12、24、48 h行视觉模拟评分(VAS),记录患者术后疼痛情况。结果两组术后24h内VAS评分差异有统计学意义(P<0.05),观察组明显优于对照组。结论腹腔镜下IPOM切口注入盐酸罗哌卡因对减轻术后疼痛有良好效果,值得临床推广。

Objective： To investigate the feasibility of injecting ropivacaine hydrochloride to incision after intraperitoneal onlay mesh （IPOM） to relieve postoperative pain. Methods： Sixty -four patients were randomly divided into observation group and control group. Two milliliters of 0.75% ropivacaine hydrechloride were locally injected to A and B incisions of patients in observation group respectively before suturing abdominal incision, and five milliliters of O. 75% ropivacaine hydrcchloride were locally injected to C incision. Control group was blank control group, and no drugs were injected to incision. Degree of pain in patients of two groups was scored by visual analogue scale （VAS） at 2, 4, 8, 12, 24 and 48 hours postoperatively. Results： There were statistical differences between the two groups VAS assessment at 24 hours （ P 〈 0. 05）. The observation group surpassed the control group obviously. Conclusion： Injecting ropivacaine hydrochloride to incision after intraperitoneal onlay mesh （IPOM） have a good effect on relieving postoperative pain, which is worthy of being widely applied in clinic.