切口预注罗哌卡因对腹腔镜宫外孕手术后疼痛的影响  

EFFECTS OF PREINCISIONAL INJECTION WITH ROPIVACAINE ON PAIN AFTER ECTOPIC PREGNANCY LAPAROSCOPIC SURGERY

作　　者：陆军[1] 

机构地区：[1]苏州市立医院北区麻醉科,江苏苏州215008

出　　处：《承德医学院学报》2011年第1期23-24,共2页Journal of Chengde Medical University

摘　　要：目的:观察手术切口预注罗哌卡因对腹腔镜宫外孕手术后疼痛的影响。方法:60例宫外孕患者随机分为实验组(30例)和对照组(30例),实验组手术切口预注罗哌卡因。观察两组患者手术后3、6、12、24h疼痛评分(VAS),副反应情况及心率、血压。结果:两组患者手术后3h、6hVAS评分、心率和血压比较差异有显著性(P<0.05),实验组VAS评分明显低于对照组。手术后12h、24hVAS评分、心率、血压及手术后副反应比较无显著差异(P>0.05)。结论:切口预注射局麻药对腹腔镜宫外孕手术后镇痛是一种安全、有效、简单、经济的方法。Objective：To observe effects ofpreincisional injection with ropivaeaine on pain after eetopic pregnancy laparoscopic operation.Methods：60 eetopic pregnancy patients were randomly divided into 2 groups （n=30）, experimental group and control group. The operative incision of patients in experimental group was pre-injeeted with mpivaeaine. The pain score （VAS）, heart rote, blood pressure 3h, 6h, 12h, 24h after operation and side effects were observed.Results：There had obvious differences about VAS score, heart rote and blood pressure of patients in 2 groups 3h and 6h after operation （P〈0.05）, the VAS score of experimental group was obviously lower than control group. There had no obvious differences about VAS score, heart rate and blood pressure 12h and 24h after operation and side effects of 2 groups （P〉0.05）. Conclusions：Preincisional injection with local anesthetics is safe, effective, simple and economic method for eetopic pregnancy laparoscopic operation.

关 键 词：腹腔镜手术 宫外孕 长效局麻药 术后疼痛 罗哌卡因 

分 类 号：R614.2[医药卫生—麻醉学]