【摘要】 目的：探讨超声下星状神经节阻滞（SGB）联合纳布啡对腹腔镜胆囊切除术（LC）患者术后情况的影响。方法：采用随机数表法将LC患者分为对照组和联合组，每组50例。联合组在对照组基础上于全身麻醉诱导前10 min予0.25%罗哌卡因5 mL行超声引导下SGB，将两组患者效果进行对比。结果：与对照组比较，联合组各时间段平均动脉压和心率、术后VAS疼痛评分、PONV 2～4级发生率、止吐药使用率降低（P<0.05），而PONV 0～1级发生率明显升高（P<0.05）。两组患者T₀时平均动脉压和心率、手术时间、苏醒时间差异均无统计学意义（P>0.05）。结论：SGB联合纳布啡可以减轻LC患者术中血流动力学波动，减轻术后疼痛和恶心呕吐发生率。更多还原

【Abstract】 Objective:To investigate the effect of ultrasound stellate ganglion block （SGB） combined with nalbuphine on the postoperative condition of patients undergoing laparoscopic cholecystectomy （LC）.Methods:LC patients were divided into the control group and the combined group,with 50 patients in each group.Patients in the combined group were given 0.25% ropivacaine 5 mL for 10 min before induction of general anesthesia on the basis of the control group to perform ultrasound-guided SGB.Compare the effects of two groups of patients.Results:Compared with the control group,the mean arterial pressure and heart rate at all time periods,postoperative VAS pain score,the incidence rate of PONV grade 2-4 and the use rate of antiemetic drugs were decreased,while the incidence rate of PONV grade 0-1 was significantly increased in the combined group （P<0.05）.The differences in mean arterial pressure and heart rate at T₀,operative time,and awakening time between the two groups were not statistically significant （P>0.05）.Conclusions:SGB combined with nalbuphine attenuates intraoperative hemodynamic fluctuations and reduces the incidence of postoperative pain and nausea and vomiting in LC patients.更多还原