The influence of laparotomy hepatectomy patients after operation by Ropivacaine continue incision infiltration anesthesia
YU Peng1 LI Jiajun2 YIN Tianxiang3
1.Department of Anesthesiology, Yichang Central People′s Hospital, Sichuan Province, Yichang 443003, China;
2.Department of Anesthesiology, General Hospital of Panzhihua Iron and Steel Company, Sichuan Province, Panzhihua 617000, China
Abstract：Objective To investigate the effect of laparotomy hepatectomy patients after operation by Ropivacaine continue incision infiltration anesthesia. Methods A total of 100 patients with Ropivacaine continue incision infiltration anesthesia who were admitted to the Department of Anesthesiology, Yichang Central People′s Hospital from January 2017 to March 2018 were selected and divided into control group (salt incision infiltration) and observation group according to different anesthesia methods. The pain score of different time points after operation for two groups laparotomy hepatectomy patients were detected; the alanine aminotransferase (ALT), aspartate aminotransferase (AST), serum albumin (ALB), and the serum albumin (ALB), direct bilirubin (DBIL), total bilirubin (TBIL), prothrombin time (PT), activated partial thrombin time (APTT) of two groups before and 3 d after operation were detected; the hospital stays after operation, the first venting time, the first cacation time, the first get out bed time, intravenous analgesic drugs, nausea, emesis, incision infection rate of two groups were observed. Results The pain score of detection group patients 6, 12, 24 h, and 48 h after operation were lower than control group, the differences were statistical significance(P < 0.05). The ALT, AST, ALB, DBIL, TBIL, PT, and APTT of two groups patients before operation and 3 d after operation were compared, the differences were no statistical significance (P > 0.05). The ALT, AST, PT, APTT of two groups 3 d after operation were higher than before operation in the same group, the hospital stays after operation, the first venting time, the first cacation time, the first get out bed time of observation group patients were shorter than control group, intravenous analgesic drugs was less than control group, the differences were statistical significance (P < 0.05). The nausea, emesis, incision infection rate of two groups patients were compared, the differences were no statistical significance (P > 0.05). Conclusion The application of laparotomy hepatectomy by Ropivacaine continue incision infiltration anesthesia, which can reduce the pain of patients, have little effect on liver function and coagulation function, and increase therapeutic effect, it is worth to be used.
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2018, Vol. 15 
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