摘要
目的评估不同浓度罗哌卡因用于腹横肌平面阻滞对腹腔镜胆囊切除患者术后恢复质量的影响。方法择期行腹腔镜胆囊切除患者75例,年龄30~60岁,美国麻醉医师协会分级为Ⅰ~Ⅱ级,全身麻醉后行超声引导下双侧肋缘下腹横肌平面阻滞,采用随机数字表将患者均分为3组(n=25):A组共注射生理盐水30m L;B组共注射0.25%罗哌卡因30m L,C组共注射0.5%罗哌卡因30m L。观察并评价患者术后24h恢复质量、恶心呕吐等不良反应发生率以及患者满意度评分。结果与A组比较,B组和C组患者术后24h QoR-40总分升高、术后恶心呕吐发生率降低、患者满意度提高,以上各项指标差异均有统计学意义(P<0.05)。B组和C组患者以上各项指标比较,差异均无统计学意义(P>0.05)。结论采用0.25%罗哌卡因30m L进行超声引导下双侧腹横肌平面阻滞可以促进腹腔镜胆囊切除患者术后恢复。
OBJECTIVE To evaluate the effects of ultrasound-guided transversus abdominis plane block （TAP） using different concentration of ropivacaine on the postoperative quality of recovery after laparoscopic cholecystectomy undergoing general anesthesia. METHODS Seven-five American Society of Anesthesiologists physical status （ASA） I or II patients undergoing laparoscopic cholecystectomy were randomly allocated to Group A, Group B or Group C. Group A received 30mL of normal saline, Group B received 30mL of 0.25% ropivacaine,whereas Group Creceived 30mL of 0. 5% ropivacaine. The outcomes included the quality of recovery, which was assessed on the day before surgery and 24h after surgery using the Quality of Recovery 40 questionnaire （ QoR-40）, the incidence of post- operative nausea and vomiting （PONV） and patient＇s satisfaction. RESULTS Compared with Group A, Global QoR-40 score at 24h after surgerywas higher in Group B and Group C, the incidence of PONV was reduced in Group B and Group C ,and the patient＇s satisfaction scores was improved in Group B and Group C. However, these parame- ters were similar in Group B and Group C （P 〉0. 05）. CONCLUSION 0. 25% ropivacaine 30mL is suitable for ultrasound-guided bilateral TAP used for improving the quality of recovery after general anesthesia for laparoscopic choleeystectomy.
出处
《海峡药学》
2017年第6期66-69,共4页
Strait Pharmaceutical Journal
基金
福建省中青年教师教育科研项目资助(JA14157)
福建省医学创新课题(2015-CXB-24)
关键词
超声引导
局部麻醉
腹横肌平面阻滞
术后恢复质量
腹腔镜胆囊切除术
Uhrasound-guided
Regional anesthesia
Transversus abdominis plane block
Quality of recovery
Laparoscopic chole-cystectomy
