不同剂量罗哌卡因行超声引导双侧肋缘下腹横肌平面阻滞对胆囊切除术患者镇痛效果的影响  

The effect of different doses of ropivacaine on the analgesic effect of ultrasound-guided bilateral intercostal lower abdominal transverse muscle plane block in patients undergoing cholecystectomy

作　　者：黄启轩 阮琛羚 刘纪苹 HUANG Qixuan;RUAN Chenling;LIU Jiping(Department of Anesthesiology,Dongchangfu People's Hospital of Liaocheng,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市东昌府人民医院麻醉科,山东聊城252000

出　　处：《当代医学》2024年第20期133-137,共5页Contemporary Medicine

摘　　要：目的分析不同剂量罗哌卡因行超声引导双侧肋缘下腹横肌平面阻滞对胆囊炎切除术患者镇痛效果的影响。方法选取2021年1月至2022年1月聊城市东昌府人民医院收治的100例胆囊切除术患者作为研究对象,按照随机数字表法分为研究组A(n=35)、研究组B(n=35)与对照组(n=30)。研究组A予以0.375%罗哌卡因行腹横肌平面阻滞,研究组B予以0.5%罗哌卡因行腹横肌平面阻滞,对照组予以0.9%氯化钠溶液行腹横肌平面阻滞。比较3组手术相关指标与视觉模拟评分法(visual analogue scale,VAS)评分。结果3组手术时间与术后拔喉罩时间比较差异无统计学意义;研究组A与研究组B静脉自控镇痛(patient-controlled intravenous analgesia,PCIA)按压次数均明显少于对照组,差异有统计学意义(P<0.05)。3组术后4、12 h时,静息状态、活动状态VAS评分比较差异有统计学意义(P<0.05);3组术后24 h时,静息状态、活动状态VAS评分比较差异无统计学意义。结论罗哌卡因在超声技术引导下对胆囊切除术患者的阻滞镇痛效果良好,有助于改善PCIA镇痛类药物的使用情况,且不同剂量罗哌卡因的阻滞镇痛效果较为相近。Objective To analyze the effect of different doses of ropivacaine on the analgesic effect of ultrasound-guided bilateral intercostal lower abdominal transverse muscle plane block in patients undergoing cholecystectomy.Methods A total of 100 patients with cholecystectomy admitted to Dongchangfu People's Hospital of Liaocheng from January 2021 to January 2022 were selected as the study subjects,and they were divided into the study group A(n=35),the study group B(n=35)and the control group(n=30)according to the random number table method.The study group A received 0.375% ropivacaine for transversal plane block,the study group B received 0.5% ropivacaine for transversal plane block,and the control group received 0.9% sodium chloride solution for transversal plane block.The surgery-related indices and visual analogue scale(VAS)scores were compared among the three group.Results There were no statistically significant differences in the surgical time and postoperative removal time of the laryngeal mask among the three groups;the number of patient-controlled intravenous analgesia(PCIA)compressions in the study group A and study group B was significantly less than that in the control group,and the difference was statistically significant(P<0.05).At 4 and 12 h after operation,there were statistically significant differences in resting and active VAS scores among the three groups(P<0.05);24 h after operation,there was no significant difference in resting and active VAS scores among the three groups.Conclusion Ropivacaine under the guidance of ultrasonic technology has a good analgesic effect on cholecystectomy patients,which is helpful to improve the use of PCIA analgesic drugs,and the analgesic effect of different doses of Ropivacaine is similar.

关 键 词：罗哌卡因 超声引导 腹横肌平面阻滞 胆囊切除术 

分 类 号：R61[医药卫生—外科学]