CAJ | 학술논문

目的：研究刀口局部浸润罗哌卡因和口服曲马多对腹腔镜阑尾切除术后的镇痛效果。方法：选40例行腹腔镜阑尾切除术的患者，根据随机化分组表分为两组。A组采用静脉给予舒芬太尼加曲马多镇痛泵。B组多模式镇痛组采用术前局部注射0.5%罗哌卡因加术后口服曲马多。记录术后6,12,24小时疼痛VAS评分以及其它并发症。结果：B组患者在术后6小时镇痛评分明显低于A组，术后12小时两组间VAS评分差异无统计学意义。两组患者恶心发生情况差异有统计学意义。两组患者术后下床活动时间、排气时间差异有统计学意义。结论：局部镇痛加口服曲马多可满足腹腔镜阑尾切术后镇痛需要，并有较少的并发症，利于患者早期下床和排气。
목적：연구도구국부침윤라고잡인화구복곡마다대복강경란미절제술후적진통효과。방법：선40례행복강경란미절제술적환자，근거수궤화분조표분위량조。A조채용정맥급여서분태니가곡마다진통빙。B조다모식진통조채용술전국부주사0.5%라고잡인가술후구복곡마다。기록술후6,12,24소시동통VAS평분이급기타병발증。결과：B조환자재술후6소시진통평분명현저우A조，술후12소시량조간VAS평분차이무통계학의의。량조환자악심발생정황차이유통계학의의。량조환자술후하상활동시간、배기시간차이유통계학의의。결론：국부진통가구복곡마다가만족복강경란미절술후진통수요，병유교소적병발증，리우환자조기하상화배기。
Objective: To investigate the effect of local ropivacaine in laparoscopic appendectomy.Methods:Forty patients undergoing laparoscopic eholecystectomy were randomized to two groups with twenty patients each:group A received sufentany and tramadol intravenous injection;group B received 0.5% ropivacaine and oral tramadol.Postoperative pain was rated at 6,12,and 24 h after surgery.Adverse complications were recorded.Results:At 6 h after surgery;the VAS scores of group A was lower than group B(P<0.05),but there was no significant difference in both groups after 12 h.The occurrence of nausea in group A was more than group B(P<0.05).Conclusion:Local use of ropivacaine can significantly reduce postoperative pain after laparoscopic appendectomy.