快速康复外科理论指导下右美托咪定术后镇痛在腹腔镜胆囊切除术中的应用效果  

The application effect of postoperative analgesia with dexmedetomidine in laparoscopic cholecystectomy under the guidance of rapid rehabilitation surgery

作　　者：游春枝 钟声宏[1] 张杰[1] 赵小平[1] 宗襎琪 

机构地区：[1]江西省九江市第一人民医院麻醉科,江西九江332000

出　　处：《中国现代医生》2017年第12期141-143,共3页China Modern Doctor

摘　　要：目的探讨快速康复外科理论指导下右美托咪定术后镇痛在腹腔镜胆囊切除术中的应用效果。方法 2016年3月~2017年1月我院收治的腹腔镜胆囊切除术患者90例,按入院顺序分组讨论,对照组45例(围术期常规性疼痛管理模式)和研究组45例(围术期快速康复外科理论指导下右美托咪定镇痛干预),观察其干预状况。结果经统计学分析总并发症发生率,研究组(11.11%)略高于对照组(8.89%),但组间数据无统计学意义(P>0.05)。对比两组患者VAS评分状况,从术后1 h、术后8 h、术后24 h、术后48 h时来看,研究组评分均低于对照组,差异有统计学意义(P<0.05)。从住院时间、首次下床活动时间上对比分析,研究组比对照组时间短,差异有统计学意义(P<0.05)。结论临床可考虑给予腹腔镜胆囊切除术疾病者围术期快速康复外科理论指导下右美托咪定进行镇痛干预,降低并发症发生率,对其术后康复有促进作用。Objective To analyze and investigate the application effect of postoperative analgesia with dexmedetomidine in laparoscopic cholecystectomy under the guidance of rapid rehabilitation surgery. Methods A total of 90 subjects were divided into groups according to the order of admission： 45 cases in the control group （perioperative routine pain management model） and 45 cases in the study group （analgesia with dexmedetomidine under the guidance of perioperative rapid rehabilitation surgery）. The two groups were the patients who were admitted to our hospital and were given laparoscopic cholecystectomy from March 2016 to January 2017. The intervention conditions were observed. Results According to statistical analysis,the incidence rate of total complications in the study group （11.11%） was slightly higher than that in the control group （8.89%）,but there was no statistical significance between the two groups （P〉0.05）. VAS scores were compared between the two groups,and the scores in the the study group were lower than those in the control group 1 h, 8 h, 24 h and 48 h after the surgery. The differences were statistically significant（P〈0.05）.The length of stay, and the time of first off-bed activity in the study group were compared and analyzed. The study group was shorter than the control group, and the differences of data between groups were statistically significant（P〈0.05）. Conclusion Analgesia intervention in laparoscopic cholecystectomy under the guidance of perioperative rapid rehabilitation surgery can be considered clinically, so as to reduce the incidence rate of complications, and promote the postoperative rehabilitation.

关 键 词：腹腔镜胆囊切除术 右美托咪定 镇痛 快速康复外科 并发症 

分 类 号：R971.1[医药卫生—药品]