Analysis of analgesic effects and adverse reactions of combined local and intraperitoneal infiltration anesthesia with ropivacaine after LC surgery
Objective To analyze the analgesic effects and adverse reactions of combined local and intraperitoneal infiltration anesthesia with ropivacaine after laparoscopic cholecystectomy(LC)surgery.Methods A total of 60 patients undergoing LC under general anesthesia were selected and divided into an observation group and a control group according to random number table method,with 30 patients in each group.The control group did not receive analgesic drugs or other labor intervention after the operation,and the observation group received local and intraperitoneal infiltration anesthesia.The visual analogue scale(VAS)score,requiring additional diclofenac sodium suppositories,anal ventilation time,off-bed ambulation time,postoperative nausea and vomiting(PONV)score within 24 h were compared between the two groups.Results VAS scores of the observation group at 0,2,4,8,12 and 24 h after the operation were lower than those of the control group,and the data comparison showed a difference(P<0.05).The proportion of patients requiring additional diclofenac sodium suppositories in the experimental group was 13.3%,which was lower than 40.0%in the control group,and the data comparison showed a difference(P<0.05).There was no difference in anal ventilation time between the two groups(P>0.05).The postoperative off-bed ambulation time in the observation group was(1.23±0.42)d,which was earlier than(2.10±0.79)d in the control group,and the data comparison showed a difference(P<0.05).The PONV score of the observation group was(0.77±0.76)points,which was lower than(1.37±0.79)points of the control group,and the data comparison showed a difference(P<0.05).Conclusion The application of combined local and intraperitoneal infiltration anesthesia with ropivacaine can reduce postoperative pain in patients undergoing LC surgery,with less need for additional analgesia and mild adverse reactions.Therefore,this anesthesia method is worth learning.
NETL
NSTL
万方数据
维普
