超声引导下罗哌卡因腹横筋膜阻滞联合帕瑞昔布钠在腹腔镜胃减容术患者术后镇痛中的应用

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Abstract Objective To investigate the application of ultrasound-guided Ropivacaine for abdominal transverse fascia block combined with Parecoxib Sodium in postoperative analgesia in patients undergoing laparoscopic gastric volume reduction surgery.Methods A total of 80 cases of undergoing laparoscopic gastric volume reduction surgery patients admitted to our hospital from January to August 2019 were selected as the research objects, and were divided into a treatment group (40 cases) and a control group (40 cases) according to random number table method.The treatment group was given laparoscopic gastric volume reduction surgery and Ropivacaine transversal fascia block, and the control group was given laparoscopic gastric volume reduction surgery.The two groups patients were compared in terms of visual analogue scale (VAS), opioid use after surgery, anal exhaust time (the time from the end of the surgery to the first exhaust), and the hospital stays.Results The resting VAS scores of patients in the treatment group were lower than those in the control group at 1 and 6 hours after surgery, the opioid use rate at 48 hours after surgery in the treatment group was lower than that in the control group, and the postoperative nausea and vomiting score were lower than those in the control group, and anal exhaust time was shorter than that in the control group, with statistically significant differences (P＜0.05).There were no statistically significant differences in resting VAS scores and hospital stays between the two groups of patients at 12 and 24 hours after surgery (P＜0.05).Conclusion Ultrasound-guided abdominal transverse fascia block combined with Parecoxib Sodium for laparoscopic gastric volume reduction surgery can reduce postoperative pain score, postoperative nausea and vomiting score, reduce opioid use, and benefit the recovery of intestinal function.

Key words： Abdominal transverse fascia block Ultrasound Gastric volume reduction surgery Parecoxib Sodium;Postoperative analgesia

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I22/154

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