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首页> 外文期刊>Acute pain: international journal of acute pain management >Postthyroidectomy pain control using ropivacaine wound infiltration after intraoperative rehnifentanil: A prospective double blind randomized controlled study
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Postthyroidectomy pain control using ropivacaine wound infiltration after intraoperative rehnifentanil: A prospective double blind randomized controlled study

机译:瑞芬太尼术后罗哌卡因伤口浸润控制甲状腺切除术后疼痛的前瞻性双盲随机对照研究

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Background and objective: We conducted a prospective double blind randomized study assessing ropivacaine end-of-surgery wound infiltration for pain relief in thyroid surgery after remifentanil-based intraoperative analgesia. Methods: Fifty elective ASA l-ll patients scheduled for thyroid surgery were included in this study. Balanced anesthesia was performed with propofol, remifentanil, N_2O, isoflurane. Patients were randomized in two equal groups: ropivacaine (n = 25) and saline (n = 25) which respectively had end-of-surgery wound infiltration with 15 ml of ropivacaine 2% or the same volume of saline. Results: Pain intensity, morphine requirement and the length of stay in PACU were significantly lower in ropivacaine group as compared to saline group (P<0.05). No difference was observed in the surgical ward. Conclusions: If remifentanil is used for intraoperative analgesia, end-of-surgery wound infiltration with 15 ml ropivacaine 2% is an efficient strategy to control postthyroidectomy pain.
机译:背景与目的:我们进行了一项前瞻性双盲随机研究,评估罗哌卡因在雷米芬太尼为基础的术中镇痛后在甲状腺手术中的伤口浸润缓解疼痛。方法:本研究纳入了计划进行甲状腺手术的50例ASA L-11择期患者。用丙泊酚,瑞芬太尼,N_2O,异氟烷进行均衡麻醉。患者被随机分为两组:罗哌卡因(n = 25)和生理盐水(n = 25),分别在手术结束时用15 ml 2%罗哌卡因或相同体积的盐水浸润。结果:与生理盐水组相比,罗哌卡因组的疼痛强度,吗啡需求量和在PACU的停留时间均明显降低(P <0.05)。在外科病房中未观察到差异。结论:如果将瑞芬太尼用于术中镇痛,则在手术结束时用2%罗哌卡因15 ml浸润是控制甲状腺切除术后疼痛的有效策略。

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