艾司氯胺酮辅助腹直肌鞘阻滞对妇科经脐单孔腹腔镜手术患者术后疼痛及快速康复的影响

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键词：艾司氯胺酮；腹直肌鞘阻滞；妇科；经脐单孔腹腔镜手术；疼痛；康复

中图分类号：R614文献标识码：A

DOI：10.3969/j.issn.1006-1959.2025.15.010 文章编号：1006-1959（2025）15-0052-05

Effectof Esketamine-assisted Rectus Abdominis Sheath Block on Postoperative Pain andRapid Recovery in Patients Undergoing Gynecological Transumbilical Single-portLaparoscopic Surgery

LANQinghai，DENGSimin，WANGChonghe，LUOWeiting，ZHOUWen，LIYouchun，ZHONGBaolin （DepartmentofAnesthesiology，GanzhouPeople'sHospital，Ganzhou341OO，Jiangxi，China）

Abstract：OjectieToivestiatetectofsketaasistedcsdosseathockoostopatiepainndadcoyn patientsundergoingecologicaltrasubilcalsingeortlapaosopicsurgeryMethdsAtotalofOpatintsudergoingical transumbilicalingortlaparosopicsurgeyundeeralaestsiaizoueoplesHospitalfoJuly2toJne3weeected theresearchojectsodingtotendomumbertableetod，teyereadomlyivideditoketaineombieditoiacaioup （ARgroup）andoivacaio（p）ithatintsichophaticdacinosat2de surgeryi andpostoperatidaciodoichdowseado ResultsThetaticanddamicpainsoreat2，6and12hfteroperationinARgoupaslowerthantatinRgroup（PO.O5）.Tedosagef remifentanildropoogeraodtbofsofdoalzeoiopARelatoup （P0.05）.TefgeigouofdaltodspialtioiiAoeoeooup P< 0.05）. Thencidencfstoperatiedesaciosouasowrnatinotolou）osioetas rectusabdominisshathblockcanreducetheegreeofpostoperativepaininpatientsundergoinggynecologicaltransumbilicalsingleort laparoscopicteoilit clinical application.

Keywords：EsketamieRectusomieathlock;Gyecogasublcalgleortlaparoscoicurery;Painebiliti

近年来，经脐单孔腹腔镜手术已经在妇科广泛应用，与传统腹腔镜手术相比，该术式仅有一个切□，在脐孔或脐周，具有突出的美容优势。（剩余6587字）