丁哌卡因腹腔麻醉對腹腔鏡闌尾炎患者術(shù)后鎮(zhèn)痛效果及睡眠的影響

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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

中圖分類號：R656.8;R338.63 文獻標(biāo)識碼：A doi：10.3969/j. issn. 2095-7130.2025.02.003

急性闌尾炎是全球范圍內(nèi)引起急性腹痛的常見原因，多發(fā)于 10～20 歲，男女發(fā)病率為 。（剩余5815字）