郭建琰 杨远胡

    [摘要]目的探討在腹腔镜结肠癌根治术加速康复外科中应用右美托咪定复合罗哌卡因腹横肌平面阻滞的效果。方法选取2020年1月至2021年1月在惠阳三和医院接受腹腔镜结肠癌根治术治疗的79例患者，采用随机数字表法将其分为两组，观察组( n=40)术后采用右美托咪定复合罗哌卡因进行腹横肌平面阻滞，对照组( n=39)则注入同体积生理盐水，比较两组患者在术后各时间点的疼痛程度、镇静效果、恢复情况及不良反应。结果观察组患者在术后6、12、24、48 h 时间点的疼痛程度低于对照组( P 0.05)。结论对接受腹腔镜结肠癌根治术治疗的患者采用右美托咪定复合罗哌卡因行腹横肌平面阻滞可获得较好的效果，能够明显降低疼痛感，提高镇静效果、恢复速度，且不会增加不良反应发生率，符合临床加速康复外科理念。

    [关键词]腹腔镜结肠癌根治术;右美托咪定;罗哌卡因;腹横肌平面阻滞

    [中图分类号] R614; R735.35? [文献标识码] A? [文章编号]2095-0616(2021)24-0111-04

    Evaluation of dexmedetomidine combined with ropivacaine in transversus abdominis plane block in enhanced recovery after surgery after laparoscopic radical colectomy

    GUO? Jianyan? YANG? Yuanhu

    Department of Anesthesiology， HuiyangSanhe Hospital， Guangdong， Huizhou 516211， China

    [Abstract] Objective To explore the effect of dexmedetomidine combined with ropivacaine in transversus abdominis plane block (TAPB) in enhanced recovery after surgery (ERAS) after laparoscopic radical colectomy (LRC). Methods A total of patients who received LRC in HuiyangSanhe Hospital from January 2020 to January 2021 were selected ......