摘要
目的观察罗哌卡因联合亚甲蓝手术切口局部注射在腹腔镜胆囊切除术后的镇痛效果。方法将600 例胆囊切除术患者随机分为观察组(n =300)和对照组(n =300),观察组术后切口局部注射罗哌卡因+亚甲蓝,对照组注射罗哌卡因+生理盐水,采用VAS 疼痛评分表记录两组患者术后疼痛情况,同时观察肠功能恢复情况、第一次下床、出院时间及切口愈合等情况。结果罗哌卡因+亚甲蓝观察组术后镇痛效果明显优于对照组(P < 0.05),肠功能恢复及第一次下床时间均优于对照组(P < 0.05)。结论罗哌卡因联合亚甲蓝对腹腔镜胆囊切除术后镇痛效果显著,有利于患者恢复。
Objective To observe ropivacaine combined local injection of methylene blue incision laparoscopic cholecystectomy analgesic effect. Methods Six hundred patients with cholecystectomy were randomly divided into observation group (n=300) and control group (n=300). The observation group received local injection of ropivacaine + methylene blue in the incision and ropivaca in the control group. Due to the + saline, the postoperative pain was recorded on the VAS pain score table, and the recovery of intestinal function, the first time to get out of bed, the time of discharge, and the healing of the incision were observed. Results ropivacaine group Postoperative Analgesia methylene blue was observed than the control group (P <0.05), a second bed of intestinal function recovery time than the control group (P < 0.05). Conclusion ropivacaine joint methylene blue significantly on postoperative analgesia of laparoscopic cholecystectomy, it is conducive to patient recovery.
作者
严培虎
张寒芝
赵春梅
于富强
贾萍
高德玉
陈兴川
YAN Peihu;ZHANG Hanzhi;ZHAO Chunmei;YU Fuqiang;JIA Ping;GAO Deyu;CHEN Xingchuan(Three Departments of General Administration of Liangzhou Hospital in Wuwei Gansu, Wuwei Gansu 733000, China)
出处
《中国继续医学教育》
2019年第25期136-138,共3页
China Continuing Medical Education
关键词
罗哌卡因
亚甲蓝
腹腔镜
胆囊切除术
术后镇痛
快速康复
Ropivacaine
Methyleneblue
Laparoscopy
Cholecystectomy
Postoperative analgesia
Rapid recovery
