| 罗哌卡因浸润用于腹腔镜胆囊切除术后镇痛的临床观察 |
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| 引用本文： | 何晓峰,思永玉,黄青青.罗哌卡因浸润用于腹腔镜胆囊切除术后镇痛的临床观察[J].中国医药导刊,2008,10(7):1050-1051. |
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| 作者姓名： | 何晓峰 思永玉 黄青青 |
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| 作者单位： | 昆明医学院第二附属医院麻醉科,昆明,650101 |
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| 摘 要： | 目的：观察腹腔镜胆囊切除术（LC）后腹腔骨应用罗哌卡因浸润麻醉对患者术后疼痛的缓解作用。方法：安慰剂对照和双盲的研究方法，将60名择期行LC的病人随机分为3组，A组术前以0.5%罗哌卡因逐层浸润各切口并喷洒腹腔。B组方法同A组，时间为手术结束时。对照组使用生理盐水。记录术后1、3、6、24hVAS评分。3、6、24h腹腔内和切口疼痛VRS评分。结果：A、B组术后6h内VAS低于对照组，A、B组间无显著差异。术后3h切口和腹腔疼痛VRS评分A、B组低于对照组，A、B组间无差异，术后6h A组腹腔内疼痛VRS评分显著低于B组及对照组。结论：罗哌卡因切口浸润结合腹腔内喷洒可明显降低腹腔镜手术后早期VAS评分，具有良好的镇痛效果。术有与术后给药对镇痛效果无明显影响，但术前腹腔内浸润在减轻腹腔内疼痛方面可能优于术后给药。
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| 关 键 词： | 罗哌卡因 浸润麻醉 腹腔镜 胆囊切除术 镇痛 |
Ropivacaine Infiltration Analgesia in Patients Post Laparoscopic Cholecystectomy |
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| He Xiao-feng,Si Yong-yu,Huang Qing-qing.Ropivacaine Infiltration Analgesia in Patients Post Laparoscopic Cholecystectomy[J].Chinese Journal of Medicinal Guide,2008,10(7):1050-1051. |
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| Authors: | He Xiao-feng Si Yong-yu Huang Qing-qing |
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| Institution: | He Xiao-feng,Si Yong-yu,Huang Qing-qing (Department of Anesthesiology,Second Affiliated to Hospital,Kunming Medical college,Kunming,Yunnan 650101,China.) |
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| Abstract: | Objective:To evaluate ropivacaine infiltration analgesia in patients receiced laparoscopic cholecystectomy(LC).Method:60 patients receiced selection LC were randomly divided into three groups:group A(n=20) infiltrate 05%ropivacaine 20 ml before LC;group B (n=20) infiltrate 0.5%ropivacaine 20 mL after LC.group C(n=20) infiltrate saline 20 ml as control.Pain score were assessed after surgery 1,3,6,24 hours by visual analog scale(VAS).The abdominal cavity and incisal opening pain were assessed after surgery 3,... |
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| Keywords: | Ropivacaine infiltration anesthesia Cholecystectomy laparoscopic analgesia |
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