Analgesic modalities for ambulatory laparoscopic cholecystectomy / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 265-270, 2022.
Article
in Chinese
| WPRIM
| ID: wpr-933633
ABSTRACT
Objective:
To explore the analgesic methods in ambulatory laparoscopic cholecystectomy (LC) patients.Methods:
Three hundred patients were randomly divided into six groups receiving different analgesic regimen. VAS scores, postoperative blood pressure, CRP, IL-6, and the occurrence of postoperative adverse effects were recorded at 2, 4, 8, and 12 h postoperatively.Results:
The success rate of ambulatory LC in this study was 66.22%. The dynamic VAS scores of patients in each group gradually decreased with time elapsing, with groups B and C being significantly lower than group A at 2 h and 4 h postoperatively ( P<0.05). Groups D, E and F were significantly different from group A at all postoperative time points ( P<0.05). There was a statistically significant difference at 8 h and 12 h postoperatively in group B vs. group D and group C vs. group E (all P<0.05). There was significant difference at the 12 h postoperatively between groups (B and C) compared to group F ( P<0.05). There was a significant difference in CRP and IL-6 between the groups (all P<0.05). Postoperative dizziness, nausea and delayed discharge were significantly higher in patients using analgesic pumps ( P<0.05).Conclusion:
Local infiltration of ropivacaine combined with postoperative parecoxib sodium drip is a recommended analgesic regimen.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
Chinese Journal of General Surgery
Year:
2022
Type:
Article
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