摘要
目的研究罗哌卡因持续切口浸润镇痛对开腹肝癌切除术患者术后镇痛、康复效果等指标的影响。方法选取该院2019年1—9月收治的102例开腹肝癌切除术患者,将其随机分为试验组和对照组,每组51例患者,试验组利用罗哌卡因持续切口浸润镇痛,对照组静脉镇痛,比较两组镇痛效果、凝血指标、术后康复、不良反应等指标差异。结果试验组镇痛满意度96.07%,对照组镇痛满意度82.35%,差异有统计学意义(P<0.05),两组术后VAS量表评分、首次排气时间、镇痛用药剂量、住院时间、凝血功能指标差异有统计学意义(P<0.05)。结论开腹肝癌切除术能够帮助患者尽快切除病灶,并减少患者术后疼痛对患者治疗的影响,提高患者的康复效果,减少患者的不良反应,值得在临床中给予推广及应用。
Objective To study the effects of continuous incision ropivacaine infiltration and analgesia on postoperative analgesia and rehabilitation effects of patients undergoing open hepatectomy.Methods A total of 102 patients undergoing laparotomy for hepatectomy in our hospital from January to September 2019 were selected and randomly divided into an experimental group and a control group,with 51 patients in each group.The experimental group used ropivacaine continuous incision infiltration analgesia,control group intravenous analgesia,compare the analgesic effect,blood coagulation index,postoperative rehabilitation,adverse reactions and other indicators of the two groups.Results The analgesic satisfaction of the experimental group was 96.07%,and the analgesic satisfaction of the control group was 82.35%(P<0.05).Postoperative VAS scale score,time to first exhaustion,analgesic dosage,and hospitalization time,blood coagulation function index has statistical significance,the difference was statistically significant(P<0.05).Conclusion Open hepatectomy can help the patient to remove the lesion as soon as possible,and reduce the impact of postoperative pain on the patient's treatment,improve the patient's rehabilitation effect,and reduce the adverse reactions of the patient.It is worthy of promotion and application in the clinic.
作者
黄松梅
韩辉华
HUANG Song-mei;HAN Hui-hua(Department of Anesthesiology,Chengyang District People's Hospital,Qingdao,Shandong Province,266109 China)
出处
《系统医学》
2020年第14期62-64,共3页
Systems Medicine
关键词
开腹肝癌切除术
罗哌卡因持续切口浸润镇痛
静脉镇痛
镇痛效果
满意度
Laparotomy for hepatoma
Ropivacaine continuous incision infiltration and analgesia
Intravenous analgesia
Analgesic effect
Satisfaction
