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[1]支运来,蔡成宽,吉振帅,等.目标性后腹腔镜肾上腺肿物切除术后多模式的镇痛效果评价[J].医学研究与战创伤救治(原医学研究生学报),2021,23(04):355-358.[doi:10.3969/j.issn.1672-271X.2021.04.004]
　ZHI Yun-lai,CAI Cheng-kuan,JI Zheng-shuai,et al.Evaluation of multimodal analgesia after goal-oriented retroperitoneoscopic adrenalectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2021,23(04):355-358.[doi:10.3969/j.issn.1672-271X.2021.04.004]
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目标性后腹腔镜肾上腺肿物切除术后多模式的镇痛效果评价()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第23卷
期数:
2021年04期
页码:
355-358
栏目:
临床研究
出版日期:
2021-08-10

文章信息/Info

Title:
Evaluation of multimodal analgesia after goal-oriented retroperitoneoscopic adrenalectomy
作者:
支运来; 蔡成宽; 吉振帅; 孙方浒
作者单位：222002连云港,徐州医科大学附属连云港医院（连云港市第一人民医院）泌尿外科（支运来、蔡成宽、吉振帅、孙方浒）
Author(s):
ZHI Yun-lai;  CAI Cheng-kuan;  JI Zheng-shuai;  SUN Fang-hu
(Department of Urology, Lianyungang Hospital Affiliated to Xuzhou Medical University, Lianyungang 222002, Jiangsu, China)
关键词:
目标性后腹腔镜; 肾上腺切除术; 多模式镇痛; 加速康复外科
Keywords:
goal-orientedretroperitoneoscopic;  adrenalectomy;  multimodal analgesia;  enhanced recovery after surgery
分类号:
R699
DOI:
10.3969/j.issn.1672-271X.2021.04.004
文献标志码:
A
摘要:
目的探讨目标性后腹腔镜肾上腺肿物切除术后应用罗哌卡因局部注射联合吲哚美辛栓镇痛效果及促进加速康复的作用。方法选择2018年1月至2020年4月在徐州医科大学附属连云港医院泌尿外科住院接受目标性后腹腔镜肾上腺肿物切除术的患者60例，按随机数字双盲分为联合组和对照组，每组各30例。联合组采用罗哌卡因局部注射联合吲哚美辛栓纳肛镇痛，对照组采用吲哚美辛栓纳肛镇痛。采用视觉模拟评分法(VAS法)比较2组的疼痛评分，同时分析比较2组患者术后止痛满意度、术后排气时间、下床时间、住院时间及呕吐发生率。结果术后观察至24 h,联合组VAS疼痛评分明显低于对照组（P<0.05），且患者止痛满意度高于对照组（90.00% vs 63.33%，P<0.05）。联合组术后排气时间[(8.35±1.21)h]、下床时间[(2.27±1.13)h]、术后住院时间[(84.38±8.76)h]均短于对照组[(13.27±1.62)h,(5.52±1.68)h,(96.12±8.24)h,P<0.05]，2组术后呕吐发生率比较差异无统计学意义（P>0.05）。结论目标性后腹腔镜肾上腺肿物切除术后采用罗哌卡因局部注射联合吲哚美辛栓纳肛镇痛，能有效减轻患者术后疼痛，加快患者术后恢复，该方法经济、安全，适合临床推广。
Abstract:
ObjectiveTo explore the effect of analgesic and rehabilitation with the local injection of ropivacaine combined with indomethacin suppositoryafter goal-oriented retroperitoneoscopic adrenalectomy.MethodsFrom January 2018 to April 2020,60 patientsunderwent goal-oriented retroperitoneoscopic adrenalectomywere included in the study. They were randomly divided into two groups: The combined group was local injection of ropivacaine combined with indomethacin suppository and anal analgesia; The control group was indomethacin suppository and anal analgesia. Visual analogue scoring method (VAS method) was used to compare pain score, satisfaction with postoperative analgesia, postoperative exhaust time, postoperative time out of bed, hospital stay and the incidence of vomiting were analyzed and compared between the two groups.ResultsThe VAS pain score of the combined group was significantly lower thanthe control group at 24 hours postoperatively(P<0.05), and the patient’s pain satisfaction combined group was larger than in the control group（90.00% vs 63.33%，P<0.05）. The postoperative exhaust time[(8.35±1.21)h]，the time to get out of bed[(2.27±1.13)h], and hospitalization time in the combined group were shorter[(84.38±8.76)h] than in the control group [(13.27±1.62)h,(5.52±1.68)h,(96.12±8.24)h,P<0.05]. The number of cases of postoperative nausea or vomiting was not statistically different between the two groups (P>0.05).ConclusionLocal injection of ropivacaine combined with indomethacin thrombectomy and anal analgesia can effectively reduce postoperative pain and facilitate postoperative rehabilitation after goal-oriented retroperitoneoscopic adrenalectomy. This method is economical and safe. It is suitable for clinical promotion.

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相似文献/References:

[1]吉振帅综述,孙方浒审校.肾上腺切除术的微创术式研究进展[J].医学研究与战创伤救治(原医学研究生学报),2018,20(05):540.[doi:10.3969/j.issn.1672-271X.2018.05.021]

备注/Memo

备注/Memo:
基金项目：连云港市社会发展计划项目（SH1405）
更新日期/Last Update: 2021-08-10