罗哌卡因在腹腔镜阑尾切除术患者麻醉及术后疼痛治疗中的应用效果分析  

Analysis on Application Effect of Ropivacaine in Anesthesia and Postoperative Pain Treatment of Patients Undergoing Laparoscopic Appendectomy

作　　者：杨建 Yang Jian(Beijing Fengtai District Tieying Hospital,Beijing 100079,China)

机构地区：[1]北京市丰台区铁营医院,北京100079

出　　处：《中国社区医师》2024年第3期58-60,共3页Chinese Community Doctors

摘　　要：目的:分析罗哌卡因在腹腔镜阑尾切除术患者麻醉及术后疼痛治疗中的应用效果。方法:选取2018年3月—2022年3月于北京市丰台区铁营医院行腹腔镜阑尾切除术的患者60例作为研究对象,依据随机数字表法分为对照组与观察组,各30例。对照组采取常规方式麻醉及术后疼痛治疗,研究组采用罗哌卡因麻醉及术后疼痛治疗。比较两组麻醉及术后疼痛治疗效果。结果:术后3、12、24 h,研究组视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.001)。研究组术后不良反应总发生率低于对照组,差异有统计学意义(P=0.011)。研究组苏醒时间、气管拔除时间、自主呼吸恢复时间早于对照组,差异有统计学意义(P<0.001)。研究组术后疼痛治疗效果总有效率高于对照组,差异有统计学意义(P=0.006)。结论:罗哌卡因在腹腔镜阑尾切除术患者麻醉及术后疼痛治疗中的应用效果较好,可缓解患者疼痛,降低不良反应发生率,加快身体恢复。Objective:To analyze the application effect of ropivacaine in anesthesia and postoperative pain treatment of patients undergoing laparoscopic appendectomy.Methods:A total of 60 patients who underwent laparoscopic appendectomy in Beijing Fengtai District Tieying Hospital from March 2018 to March 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received conventional anesthesia and postoperative pain treatment,while the study group received ropivacaine anesthesia and postoperative pain treatment.The anesthesia and postoperative pain treatment effects were compared between the two groups.Results:At 3 h,12 h and 24 h after surgery,the visual analogue scale score in the study group was lower than that in the control group,and the difference was statistically significant(P<0.001).The total incidence of postoperative adverse reactions in the study group was lower than that in the control group,and the difference was statistically significant(P=0.011).The awakening time,tracheal extubation time and spontaneous breathing recovery time in the study group were earlier than those in the control group,and the difference was statistically significant(P<0.001).The total effective rate of postoperative pain treatment in the study group was higher than that in the control group,and the difference was statistically significant(P=0.006).Conclusion:Ropivacaine has a good application effect on anesthesia and postoperative pain treatment in patients undergoing laparoscopic appendectomy,and can relieve pain,reduce the incidence of adverse reactions,and accelerate physical recovery.

关 键 词：罗哌卡因 麻醉 疼痛 腹腔镜阑尾切除术 

分 类 号：R614[医药卫生—麻醉学]