术前不同容量罗哌卡因腹横肌平面阻滞对腹腔镜卵巢癌根治术患者术后镇痛的效果

Improved Analgesia Effect of Different Volume Ropivacaine Transversal Muscle Plane Block in Patients Undergoing Laparoscopic Radical Operation for Ovarian Cancer

目的探讨腹腔镜卵巢癌根治术患者术后镇痛中采用不同容量罗哌卡因腹横肌平面阻滞的效果。方法回顾性选取2021年12月—2022年12月枣庄市峄城区人民医院收治的180例腹腔镜卵巢癌根治术患者的临床资料。根据治疗方法的不同分为对照组与观察组,各90例。分别使用剂量为12、20 mL的0.375%罗哌卡因进行麻醉,对比两组患者的各项指标及视觉模拟(Visual Analogue Scale,VAS)评分、舒适(Bruggrmann Comfort Scale,BCS)评分。结果观察组术后VAS评分低于对照组,BCS评分高于对照组,有效按压次数、舒芬太尼用量均少于对照组,差异有统计学意义(P均<0.05)。结论罗哌卡因腹横肌平面阻滞可有效降低其疼痛指数,其中使用剂量为20 mL、浓度为0.375%的罗哌卡因进行镇痛效果更佳。

Objective To investigate the effect of different volume ropivacaine transversal plane block in postoperative analgesia of patients undergoing laparoscopic radical operation for ovarian cancer.Methods The clinical data of 180 patients undergoing laparoscopic radical resection of ovarian cancer in Yicheng District People's Hospital of Zao⁃zhuang City from December 2021 to December 2022 were retrospectively selected.According to the different treat⁃ment methods,they were divided into control group and observation group,with 90 cases in each group.0.375%ropi⁃vacaine with a dose of 12 and 20 mL were used for anesthesia,and the indexes,Visual Analogue Scale(VAS)and Bruggrmann Comfort Scale(BCS)scores of the two groups were compared.Results Postoperative VAS score of obser⁃vation group was lower than control group,BCS score was higher than the of control group,effective compression times and sufentanil dosage was less than control group,the differences were statistically significant(all P<0.05).Conclu⁃sion Ropivacaine transversal plane block can effectively reduce the pain index,in which the use of 20 mL ropivacaine with 0.375%concentration for analgesia is better.