Abstract:Objective To observe the clinical application of ropivacaine combined with dexmedetomidine in the postoperative analgesia of laparoscopic cholecystectomy under the guidance of Fast track surgery (FTS) theory.Methods 80 patients undergoing selective laparoscopic cholecystectomy (LC) were randomly divided into FTS group (n=40) and control group (n=40).Injection of 0.50% ropivacaine in the control group when suturing the incision after operation.In group FTS, LC was performed under the guidance of FTS theory, and 0.50% ropivacaine+0.50 g/kg right metodetonidine was injected into the incision after the operation.The visual analogue score (VAS score) of 2,4,6,8,12,24 h after operation was recorded in two groups of patients.Results Under the guidance of fast track surgery, ropivacaine combined with dexmedetomidine has clinical significance in postoperative analgesia after laparoscopic cholecystectomy and accelerating postoperative rehabilitation.Conclusions The time of hospitalization, the total cost of hospitalization, the number of sleeping sore wakes, and the incidence of postoperative complications were recorded in the two groups.
Protic M,Veljkovic R,Bilchik A J,et al.Prospective randomized controlled trial comparing standard analgesia with combined intra-operative cystic plate and port-site local anesthesia for post-operative pain management in elective laparoscopic cholecystectomy[J].Surgical endoscopy,2017,31(2):704-713.
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Das N T, Deshpande C. Effects of Intraperitoneal Local Anaesthetics Bupivacaine and Ropivacaine versus Placebo on Postoperative Pain after Laparoscopic Cholecystectomy: A Randomised Double Blind Study.[J]. Journal of Clinical & Diagnostic Research Jcdr, 2017, 11(7):UC08.
Bindra T K,Kumar P,Rani P,et al.Preemptive Analgesia by Intraperitoneal Instillation of Ropivacaine in Laparoscopic Cholecystectomy[J].Anesthesia, essays and researches,2017,11(3):740-744.