[1]巴 琳,曾凡荣,郭忠宝.地塞米松联合切口阻滞和腹腔内局部麻醉对腹腔镜胆囊切除术后的镇痛效果[J].医学信息,2020,33(08):167-168.[doi:10.3969/j.issn.1006-1959.2020.08.056]
　BA Lin,ZENG Fan-rong,GUO Zhong-bao.Analgesic Effect of Dexamethasone Combined with Incision Block and Intraperitoneal Local Anesthesia After Laparoscopic Cholecystectomy[J].Medical Information,2020,33(08):167-168.[doi:10.3969/j.issn.1006-1959.2020.08.056]
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地塞米松联合切口阻滞和腹腔内局部麻醉对腹腔镜胆囊切除术后的镇痛效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年08期
页码:
167-168
栏目:
药物与临床
出版日期:
2020-04-15

文章信息/Info

Title:
Analgesic Effect of Dexamethasone Combined with Incision Block and Intraperitoneal Local Anesthesia After Laparoscopic Cholecystectomy
文章编号:
1006-1959（2020）08-0167-02
作者:
巴 琳; 曾凡荣; 郭忠宝
（1.佳木斯大学，黑龙江 佳木斯 154003；2.佳木斯大学附属第一医院麻醉科，黑龙江 佳木斯 154007；3.齐齐哈尔市第一医院麻醉科，黑龙江 齐齐哈尔 161000）
Author(s):
BA Lin; ZENG Fan-rong; GUO Zhong-bao
(1.Jiamusi University,Jiamusi 154003,Heilongjiang,China;2.Department of Anesthesiology,the First Affiliated Hospital of Jiamusi University,Jiamusi 154007,Heilongjiang,China;3.Department of Anesthesiology,Qiqihar First Hospital,Qiqihar 161000,Heilongjiang,China)
关键词:
地塞米松; 切口阻滞; 局部麻醉; 腹腔镜胆囊切除术; 镇痛
Keywords:
Dexamethasone; Incision block; Local anesthesia; Laparoscopic cholecystectomy; Analgesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2020.08.056
文献标志码:
A
摘要:
目的 观察静脉注射地塞米松联合切口阻滞和腹腔内局部麻醉对腹腔镜胆囊切除术后的镇痛效果。方法 选取2018年5月~2019年5月在我院行腹腔胆囊切除术的86例患者为研究对象，采用随机数字表法分为对照组和观察组，各43例。对照组采用切口阻滞和腹腔内局部麻醉，观察组在对照组基础上联合给予静脉注射地塞米松，比较两组术后不同时间段（4、8、12、24 h）切口疼痛评分、芬太尼用量、镇痛（PCIL）泵按压次数、镇痛满意度及临床不良反应发生情况。结果 观察组术后4、8 h切口疼痛评分与对照组比较，差异无统计学意义（P＞0.05）；术后12、24 h切口疼痛评分均低于对照组（P＜0.05）；观察组芬太尼用量、PCIL泵按压次数均低于对照组，镇痛满意度评分高于对照组（P＜0.05）；观察组不良反应发生率（6.97%）与对照组（9.30%）比较，差异无统计学意义（P＞0.05）。结论 静脉注射地塞米松联合切口阻滞和腹腔内局部麻醉对腹腔镜胆囊切除术镇痛效果良好，可减轻患者痛苦，术后镇痛药用量，且不会增加临床不良反应。
Abstract:
Objective To observe the analgesic effect of intravenous dexamethasone combined with incision block and intraperitoneal local anesthesia after laparoscopic cholecystectomy.Methods 86 patients who underwent cholecystectomy in our hospital from May 2018 to May 2019 were selected as the research object, using the random number table method to divided into control group and observation group, with 43 cases in each group. The control group was treated with incision block and intraperitoneal local anesthesia, and the observation group was given intravenous dexamethasone on the basis of the control group.Comparison of incision pain scores at different time periods (4,8,12,24 h) between the two groups, Fentanyl dosage, analgesic (PCIL) pump compression times, analgesic satisfaction and clinical adverse reactions.Results Compared with the control group, the incision pain scores at 4 and 8 h in the observation group were not statistically significant (P>0.05); the incision pain scores at 12 and 24 h after the operation were lower than the control group(P<0.05); the amount of fentanyl and the number of PCIL pump compressions in the observation group were lower than the control group, and the analgesia satisfaction score was higher than the control group(P<0.05); the incidence of adverse reactions in the observation group (6.97% )compared with the control group (9.30%),the difference was not statistically significant(P>0.05).Conclusion Intravenous dexamethasone combined with incision block and intraperitoneal local anesthesia has good analgesic effect on laparoscopic cholecystectomy, which can alleviate the patient’s pain, postoperative analgesic dosage, and will not increase clinical adverse reactions.

参考文献/References:

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更新日期/Last Update: 2020-04-15