丁哌卡因腹腔麻醉对腹腔镜阑尾炎患者术后镇痛效果及睡眠的影响

打开文本图片集

Effects of Bupivacaine Intraperitoneal Anesthesia on Postoperative Analgesia andSleep Quality in Patientswith Laparoscopic Appendicitis

AbstractObjective：To investigatetheefectsofbupivacaineintraperitonealanesthesiaonpostoperativeanalgesiaand sleep qualityinpatints withlaparoscopicappendicitis.Methods：Atotalof8Opatints withappendicitisadmitedto Xinghua Hospital from January2O2 toJanuary2O24 were selectedastheresearch subjects.Theyweredivided intoa controlgroupandanoservationgroupusinganumerical tablemethod，with40patients ineachgroup.Bothgroupsreceivedsurgical treatment. The observation group received 20mL of 0.5% bupivacaine without adrenaline injected intraperitoneally into the appendectomy site and subphrenic area after appendectomy and aspiration of reactive fluid.The control group received 20mL of physiologicalsalinetreatment.VisualAnalog Scale（VAS）wasusedtocomparethepainperceptionof two groups of patients，nd theuse ofopioidanalgesics wasobserved.TheAthens Insomnia Scale（AIS）wasused toevaluate theimprovement efectsofsleep disorders inthetwo groups of patients.Theimprovementof sleepqualitybefore and aftertreatment wascomparedbetweenthe two groupsofpatients，nludingtitofallasleeptotalsleeptimewakenings tisandtheoccurrnceofdverseevents.lts： Aftertreatment，the VASscoresandAISscoresof theobservation group weresignificantlylower thanthoseofthecontrol group， andthetotalmorphineequivalentoftheobservationgroupwassignificantlylowerthanthatofthecontrolgroup.Theobservation grouphadshorterpostoperativesleeptime，longertotalsleptime，andfewerawakeningsthanthecontrol group.Thediferences between the two groups were statistically significant（ P<0.05 ）. Conclusion： The application of bupivacaine for abdominal anesthesiatopatients withappendicitis undergoing laparoscopicresectioncanallviatepostoperativepainlevels，improvepostoperative sleepquality，reducepostoperativeopioiddosage，andlowertheincidenceofadverseevents.Iisworthyofclinical promotionand application.

KeywordsAppendicitis；Laparoscopic appendectomy；Bupivacaine；Analgesic ffect; Sleepquality； Morphine;Opioiddrugs;Sleep time； Awakenings times

中图分类号：R656.8;R338.63 文献标识码：A doi：10.3969/j. issn. 2095-7130.2025.02.003

急性阑尾炎是全球范围内引起急性腹痛的常见原因，多发于 10～20 岁，男女发病率为 。（剩余5815字）