Chundrigar T, Hedges A R, Morris R, Stamatakis J D
Princess of Wales Hospital, Bridgend, Mid Glamorgan.
Ann R Coll Surg Engl. 1993 Nov;75(6):437-9.
Laparoscopic cholecystectomy is now widely practised. There are various methods of pain relief used but none has been assessed or compared following this procedure. We have assessed the analgesic effect of intraperitoneal bupivacaine in laparoscopic cholecystectomy. Sixty consecutive patients were randomly assigned to one of two groups. Patients in group 1 were given 20 ml of saline injected under vision into the region of the gallbladder bed. Patients in group 2 were given 20 ml of 0.25% bupivacaine in a similar fashion. Postoperative pain was assessed with a visual analogue pain scale and the site of pain was recorded. Patients in the bupivacaine group had less pain in the early postoperative period and a lower incidence of pain in the right hypochondrium. Intraperitoneal bupivacaine is a simple and effective treatment for postoperative pain after laparoscopic cholecystectomy.
腹腔镜胆囊切除术目前已广泛开展。术后采用了多种疼痛缓解方法，但在此手术之后，尚无任何一种方法得到评估或比较。我们评估了腹腔内注射布比卡因在腹腔镜胆囊切除术中的镇痛效果。连续60例患者被随机分为两组。第1组患者在直视下于胆囊床区域注入20毫升生理盐水。第2组患者以类似方式注入20毫升0.25%布比卡因。采用视觉模拟疼痛量表评估术后疼痛，并记录疼痛部位。布比卡因组患者术后早期疼痛较轻，右季肋部疼痛发生率较低。腹腔内注射布比卡因是腹腔镜胆囊切除术后疼痛的一种简单有效的治疗方法。
