罗哌卡因区域阻滞多模式镇痛应用于腹腔镜子宫切除术后的效果OA

Objective:To investigate the effect of a ropivacaine regional block-based multimodal analgesia regimen in patients after laparoscopic hysterectomy.Methods:A total of 90 patients scheduled to undergo laparoscopic hysterectomy at our hospital from January 2023 to December 2024 were selected and randomized by the random number table method into a control group and an observation group,with 45 patients in each group.The control group received a conventional postoperative analgesia regimen,whereas the observation group received postoperative ropivacaine regional block-based multimodal analgesia in addition to the treatment given to the control group.Pain intensity at rest and during movement at different postoperative time points[assessed using the Numerical Rating Scale(NRS)],postoperative recovery,analgesic medication use,and adverse reactions were compared between the two groups.Results:At 6,12,24,and 48 h after surgery,NRS scores at rest and during movement were lower in the observation group than in the control group(P<0.05).Compared with the control group,the observation group had shorter times to first ambulation and first flatus after surgery and a shorter hospital stay(P<0.05).Within 48 h after surgery,the observation group had fewer analgesic pump presses,a later time to first analgesic pump press,and a lower rate of rescue analgesic use(P<0.05).The overall incidence of adverse reactions was lower in the observation group than in the control group(6.67%vs 24.44%,P<0.05).Conclusion:Standardized application of a ropivacaine regional block-based multimodal analgesia regimen for laparoscopic hysterectomy can effectively relieve postoperative pain,promote postoperative recovery,reduce postoperative opioid analgesic requirements,and lower the risk of adverse reactions,providing a reference for the safe and effective implementation of perioperative analgesia management.