左布比卡因对胆囊床封闭术后患者肩背部疼痛及恶心呕吐的临床观察-外科学专业毕业论文.pdfVIP

左布比卡因对胆囊床封闭术后患者肩背部疼痛 及恶心呕吐的临床观察 硕士研究生：张 宇 指导导师： 刘兴贵 专业名称： 外科学 摘要 目的：观察腹腔镜胆囊切除 （laparoscopic cholecystectomy LC）时使用左布 比卡因胆囊床封闭，对患者术后肩背部疼痛及恶心呕吐发生率的影响。 方法：选取100 例行单纯性腹腔镜胆囊切除术(LC)患者，随机分为观察组和对照 组两组，每组各50 例。观察组除常规胆囊切除后，加用左布比卡因5ml 胆囊床 封闭。对照组未行胆囊床封闭。比较两组患者术后72 小时内肩背部疼痛及恶心 呕吐的发生情况。 结果：观察组术后72 小时肩背部牵涉痛的发生率较对照组明显降低（P0.05）， 两组恶心、呕吐无明显差异，无统计学意义（P0.05）。 结论：腹腔镜胆囊切除术时，胆囊床注射左布比卡因行胆囊床封闭处理，可降低 患者术后肩背部放射痛的发生率，但对恶心呕吐无明显作用。 关键词：左布比卡因；胆囊切除：胆囊床封闭 3 英文摘要 Levobupivacaine in patients after closure of the gallbladder bed clinical observation of shoulder pain Authors ：Zhang yu ，Liu xing gui Address ：Department of general surgery of the first affiliated hospital of GuiYang Medical College ，City GuiYang，Province GuiZhou ，China ． Zip ：550004 【Abstract 】Objective To observe the clinical efficacy of gallbladder nest injected with levobupivacaine on the treatment of cholecystitise. Methods:100 cases of cholecystitise were divided into observe group and control group. All these groups were on the treatment of laparoscopic cholecystectomy. 5 milliliter of levobupivacaine was injected in gallbladder nest after surgical procedure. Whether or not the shoulder and the back are in pain after the operations, the results will be record. Results The number of in-patients in control group which shoulder and back are in pain is more than that in observe guoup.. Results: postoperative observation group 72 hours of the incidence of polyester referred pain significantly lower than the control group (P 0.05), two groups of n