摘要
目的:研究0.238%甲磺酸罗哌卡因超前镇痛,减轻术后疼痛及减少围术期并发症。方法:40例ASAI^II级择期在全麻下行腹腔镜宫外孕手术的患者,随机分为两组,I组在术前5分钟以及术毕时用0.238%甲磺酸罗哌卡因浸润鞘卡、手术部位及腹腔;II组用等量生理盐水代替甲磺酸罗哌卡因浸润。结果:术后各时点VAS评分、镇静评分、恶心呕吐评分、第一次肛门排气时间及心率(HR)变化两组比较有显著性差异,血氧饱和度(SPO2)和收缩压(SBP),舒张压(DBP)变化两组比较无显著性差异。结论:在腹腔镜宫外孕手术中用0.238%甲磺酸罗哌卡因局部浸润可以减轻术后疼痛及一定程度上减少围术期并发症。
Objective： To make a study on the preemptive analgesia of 0.238% ropivacaine mesylate reducing postoperative pain and reducing perioperative operation complication. Methods： 40 ASA physical status I-II patients performed laparoscopy ectopic pregnancy under general anesthesia were randomly assigned to two groups. In group I the sites of trocar insertion （umbilical, suprapubic） were infiltrated with ropivacaine mesylate, the pelvic cavity and operation position were also infiltrated. The patients in group II received the same volume of saline to the same anatomical sites. Results ：There were significant difference among VAS scores, the Ramsay sedation score, nausea and vomiting score, the time of anus exhausting gas and heart rate. There was no significant difference betweenSP02 and blood press. Concision：In laparoscopy ectopic pregnancy 0.238% ropivacaine mesylate may reduce postoperative pain and reduce perioperative operation complication.
出处
《安徽卫生职业技术学院学报》
2008年第4期55-56,共2页
Journal of Anhui Health Vocational & Technical College
关键词
甲磺酸罗哌卡因
超前镇痛
腹腔镜
Ropivacaine mesylate
Preemptive analgesia
Laparoscope
