酮咯酸预先镇痛联合罗哌卡因局部浸润用于腹腔镜胆囊切除术患者术后镇痛的效果

目的 探讨酮咯酸预先镇痛联合罗哌卡因局部浸润用于腹腔镜胆囊切除术患者术后镇痛的效果.方法 全凭静脉麻醉腹腔镜下胆囊切除术患者90例,随机分为3组（n=30）：生理盐水组（S组）、0.375％罗哌卡因组（L组）和0.375％罗哌卡因加酮咯酸组（T组）,各组均加舒芬太尼.其中T组于麻醉诱导前15 min静脉注射酮咯酸30 mg.观察术后镇痛效果与不良反应.结果 S组和L组苏醒时间显著短于T组（P＜0.05）.拔管后口述疼痛评分与VAS评分S组最高,L组次之,T组最低（P＜0.05）.S组要求辅助镇痛药者较其他两组多（P＜0.05）.结论 腹腔镜胆囊切除术患者,酮咯酸预先镇痛可优化罗哌卡因局部浸润麻醉的术后镇痛效果.

Postoperative analgesia efficacy of preemptive analgesic ketorolac tromethamine combined with ropivacaine local infiltration anesthesia for patients undergoing laparoscopic cholecystectomy

Objective To investigate the postoperative analgesia efficacy of preemptive analge- sic ketorolac tromethamine combined with ropivacaine local infiltration anesthesia for patients under- going laparoscopic cholecystectomy. Methods Nighty patients scheduled for selective laparoscopie cholecystectomy were randomly divided into 3 groups （n=30 each） ： 0.9% normal saline （group S）, 0. 375M ropivacaine （group L） and 0. 375% ropivacaine combined with ketorolac tromethamine （group T）. All patients were received sufentanil in every group. Ketorolac tromethamine 30 mg was injected intravenously 15 min before induction of anesthesia in group T. Postoperative analgesia effi- cacy and adverse reactions were recorded. Results Recovery time in group S and L was significantly shorter than that in group T（P〈0.05）. The highest oral pain score and VAS were in group S, the lowest in group T, and the patients needed more supplementary analgesics in group S. Conclusion For the patients scheduled for laparoscopic tromethamine can improve the postoperative thesia. cholecystectomy, preemptive analgesia with ketorolac analgesia efficacy of local ropivacaine infiltration anes-