不同浓度罗哌卡因腹横筋膜神经阻滞在腹腔镜阑尾手术后的镇痛效果.docx

不同浓度罗哌卡因腹横筋膜神经阻滞在腹腔镜阑尾手术后的镇痛效果\o分享到微博\o分享到微信\o分享到QQ\o分享到QQ空间

【摘要】目的：观察腹腔镜阑尾手术后超声引导下腹横筋膜神经阻滞镇痛中不同浓度罗哌卡因的镇痛效果。方法：选取2022年1月—2023年12月睢宁县中医院麻醉科收治的60例腹腔镜阑尾手术患者，术后在超声引导下采用罗哌卡因行腹横筋膜神经阻滞镇痛，按照罗哌卡因浓度分组，0.25%组与0.375%组各30例，对比两组镇痛效果。结果：两组各时间点的VAS评分、Ramsay镇静评分、MAP与HR基本相同，无统计学差异（P0.05）；0.25%组的不良反应发生率较0.375%组低，差异有统计学意义（P0.05）。结论：腹腔镜阑尾手术患者术后行超声引导下腹横筋膜神经阻滞时，0.25%罗哌卡因与0.375%罗哌卡因的镇痛和镇静效果均较好，术后血流动力学均较稳定，但0.25%罗哌卡因引起的不良反应要较0.375%罗哌卡因少，有更高的安全性。

【关键词】腹腔镜阑尾手术；腹横筋膜神经阻滞；术后镇痛；罗哌卡因

Analgesiceffectofdifferentconcentrationsofropivacaineonabdominaltransversefascialnerveblockafterlaparoscopicappendectomy

YAOYuan，ZHANGSumei

AnesthesiologyDepartmentofSuiningCountyTraditionalChineseMedicineHospital，XuzhouCity，Xuzhou，Jiangsu221200，China

【Abstract】Objective：Toobservetheanalgesiceffectofdifferentconcentrationsofropivacaineinultrasound-guidedabdominaltransversefascialnerveblockanalgesiaafterlaparoscopicappendectomy.Methods：60patientsundergoinglaparoscopicappendectomyadmittedtotheanesthesiologydepartmentofSuiningCountyTraditionalChineseMedicineHospitalfromJanuary2022toDecember2023wereselected.Afterthesurgery，ropivacainewasusedforabdominaltransversefascialnerveblockanalgesiaunderultrasoundguidance.Thepatientsweredividedintotwogroupsaccordingtotheconcentrationofropivacaine，with30patientsinthe0.25%groupand30patientsinthe0.375%group.Theanalgesiceffectsofthetwogroupswerecompared.Results：TheVASscores，Ramsaysedationscores，MAPandHRofthetwogroupsatvarioustimepointswerebasicallythesame，withnostatisticaldifference（P0.05）；Theincidenceofadversereactionsinthe0.25%groupwaslowerthanthatinthe0.375%group，andthedifferencewasstatisticallysignificant（P0.05）.Conclusion：Whenperformingultrasound-guidedtransversefascialnerveblockinpatientsundergoinglaparoscopicappendectomy，both0.25%ropivacaineand0.375%ropivacainehavebetteranalgesica