Surgical laparoscopy, endoscopy & percutaneous techniques · 2016
The Analgesic Effect of Ropivacaine Combined With Dexmedetomidine for Incision Infiltration After Laparoscopic Cholecystectomy.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Yu Jun-Ma, Sun Hao, Wu Chao, Dong Chun-Shan, Lu Yao, Zhang Ye
Аннотация
BACKGROUND: Local anesthetics infiltration is one consensus efficient strategy for pain relief after laparoscopic cholecystectomy (LC). The aim of this study was to investigate analgesia efficacy of incisional infiltration with ropivacaine plus dexmedetomidine.
METHODS: Patients scheduled for LC were assigned to 4 groups by different medications for trocar wound infiltration. The incidence of adverse events and the analgesic effect of ropivacaine combined with dexmedetomidine for incision infiltration were recorded.
RESULTS: Incisional infiltration of ropivacaine combining with dexmedetomidine could significantly reduce postoperative pain and the amount of pethidine requirement. Furthermore, it could also reduce time to walk without assistance, improve the efficacy of analgesia and sleep quality during the first night after LC, but did not increase the incidence of surgical adverse events.
CONCLUSIONS: The use of ropivacaine and dexmedetomidine may be considered as an alternative treatment for postoperative pain in patients undergoing LC.
METHODS: Patients scheduled for LC were assigned to 4 groups by different medications for trocar wound infiltration. The incidence of adverse events and the analgesic effect of ropivacaine combined with dexmedetomidine for incision infiltration were recorded.
RESULTS: Incisional infiltration of ropivacaine combining with dexmedetomidine could significantly reduce postoperative pain and the amount of pethidine requirement. Furthermore, it could also reduce time to walk without assistance, improve the efficacy of analgesia and sleep quality during the first night after LC, but did not increase the incidence of surgical adverse events.
CONCLUSIONS: The use of ropivacaine and dexmedetomidine may be considered as an alternative treatment for postoperative pain in patients undergoing LC.
Предметные рубрики MeSH
AdultAmidesAnalgesics, Non-NarcoticAnesthesia, LocalAnesthetics, LocalCholecystectomy, LaparoscopicDexmedetomidineDouble-Blind MethodDrug Therapy, CombinationFemaleFollow-Up StudiesGallbladder DiseasesHumansMaleMiddle AgedPain MeasurementPostoperative PainPostoperative CareRetrospective StudiesRopivacaineTreatment Outcome