Effect of Ropivacaine Incision Infiltration of Local Anesthesia on Postoperative Pain Relief in Pancreaticoduodenectomy
10.12007/j.issn.02584646.2018.02.015
- VernacularTitle:胰十二指肠切除术后罗哌卡因切口局部浸润的镇痛效果
- Author:
Jun YIN
1
;
Jin ZHANG
Author Information
1. 中国医科大学附属盛京医院麻醉科
- Keywords:
incision infiltration of local anesthesia;
pancreaticoduodenectomy;
ropivacaine
- From:
Journal of China Medical University
2018;47(2):162-166
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of postoperative ropivacaine incision infiltration of local anesthesia in pancreaticoduodenectomy. Methods Forty patients undergoing pancreaticoduodenectomy were randomized into two groups:control (C) group and ropivacaine (R) group,with 20 patients in each group. The patients in group C did not receive any treatment after the abdomen was opened,and before the abdomen was closed,they received ropivacaine twice. The patients in group R received 20 mL of 0. 5％ ropivacaine local infiltration after the abdomen was opened,and before the abdomen was closed,they received ropivacaine twice. After extubation, patients in both groups were connected to a patient controlled analgesia (PCA) pump;the requirements of sufentanil and Ramsay sedation score were recorded at time T0 (after extubation). Visual analog scores (VAS) and the time of PCA were also recorded at 2,4,12,24,and 48 h post operation. Evacuation time and adverse effect rate were also compared. Results The requirements of sufentanil in group R were significantly lower than those in group C at T0 (P < 0. 01). VAS and the time of PCA in group R were significantly lower than those in group C at 2,4,and 12 h after operation (P < 0. 01). Conclusion Local anesthesia can increase the analgesic effect and the safety of postoperative revival period;therefore,ropivacaine incision infiltration of local anesthesia can be safely and efficiently used in pancreaticoduodenectomy.
