解放军医药杂志2018，Vol.30Issue(1)：91-94,4.DOI:10.3969/j.issn.2095-140X.2018.01.024
经腹横筋膜平面阻滞时使用不同浓度罗哌卡因对腹腔镜胆囊切除术后镇痛效果的影响
Effects of Different Concentrations of Ropivacaine by Transversus Abdominis Plane Blocking on Postoperative Analgesia after Laparoscopic Cholecystectomy
摘要
Abstract
Objective To investigate effects of different concentrations of Ropivacaine by transversus abdominis plane blocking on postoperative analgesia after laparoscopic cholecystectomy. Methods Clinical data of 742 patients with selective laparoscopic cholecystectomy during March 2015 and May 2017 was retrospectively analyzed, and the pa-tients were divided into group A (0. 375％ Ropivacaine, n=371) and group B (0. 250％ Ropivacaine, n=371) ac-cording to Ropivacaine concentrations. In two groups, values of numerical rating scale (NRS), Ramsay sedation score and conditions of peroperative period at different times after operation were compared, and incidence rate of adverse reac-tion were recorded. Results Intraoperative Remifentanil dose in group A was less than that in group B (P<0. 05). There were no significant differences in NRS and Ramsay scores at different times after operation in two groups (P>0. 05). The total incidence rate of adverse reactions in group A was significantly higher than that in group B (P<0. 05). No badly adverse reactions were found in two groups. Conclusion Both 0. 375％ and 0. 250％ Ropivacaine have significant analgesic and sedative effects, but 0. 250％ Ropivacaine has good safety.关键词
胆囊切除术,腹腔镜/腹横筋膜平面阻滞/罗哌卡因/镇痛效果Key words
Cholecystectomy,laparoscopic/Transversus abdominis plane blocking/Ropivacaine/Analgesic effect分类
医药卫生引用本文复制引用
韩裕权..经腹横筋膜平面阻滞时使用不同浓度罗哌卡因对腹腔镜胆囊切除术后镇痛效果的影响[J].解放军医药杂志,2018,30(1):91-94,4.基金项目
湖北省自然科学基金项目(2014CFB674) （2014CFB674）
