甲磺酸罗哌卡因局部浸润阻滞用于腹腔镜胆囊切除术后镇痛的效果观察

The analgesic effect observation of mesylate ropivacaine local anesthesia in laparoscopic cholecystectomy

目的观察甲磺酸罗哌卡因局部浸润阻滞在腹腔镜胆囊切除术后的镇痛效果。方法将96例择期行全麻下腹腔镜胆囊切除术患者随机分为研究组和对照组各48例。研究组手术结束时在各腹壁切口处注入甲磺酸罗哌卡因;对照组未采取任何处理。记录并比较2组患者手术后2、4、8、12、24h的视觉模拟评分(VAS评分)和术后额外镇痛药物使用情况,比较2组患者术后不良反应发生及在院时间。结果研究组术后2、4、8、12、24h的VAS评分及额外镇痛药物使用次数均低于对照组(P<0.05)。但2组患者术后不良反应发生率及在院时间比较差异无统计学意义(P>0.05)。结论甲磺酸罗哌卡因局部浸润阻滞用于腹腔镜胆囊切除术后镇痛效果明显,方法简便易行,值得临床推广应用。

Objective To observe the analgesic effect of mesylate ropivacaine local anesthesia in laparoscopic cholecystectomy. Methods 96 cases patients with laparoscopic cholecystectomy in general anesthesia were randomly divided into research group and control group,each of 48 cases. Research group was subcutaneous injection methansulfonic ropivacaine at the end of the surgery. The control group did not use any processing. After treatment,compared the VAS score 2,4,8,12,24 h after surgery of 2 groups. Compared the rate of extra postoperative analgesic drugs,adverse reactions and hospital time of 2grups. Results The VAS score 2、4、8、12、24h after surgery and extra postoperative analgesic drugs of research group were lower than that of control,the difference was statistically significant( P < 0. 05). The rate of adverse reactions and hospital time was no statistically significant( P > 0. 05). Conclusion Mesylate ropivacaine local anesthesia in laparoscopic cholecystectomy has an good analgesic effect,method is convenient,worthy of clinical application.