Application of dexmedetomidine combined with ropivacaine in bile preservation surgery (TAP) in Russian patients
右美托咪定联合罗哌卡因在俄罗斯病人保胆手术TAP的应用

摘要

目的 探讨右美托咪定联合罗哌卡因在俄罗斯病人保胆手术TAP的应用。方法 选取2023年1月至2025年1月于我院接受保胆手术的60例俄罗斯病人，随机分为对照组（单纯罗哌卡因TAP）和观察组（右美托咪定联合罗哌卡因TAP）。比较两组术后疼痛程度、血流动力学相关指标、镇静状态及不良反应出现状况。结果 观察组VAS评分、不良反应发生率低于对照组，SBP、DBP、HR波动幅度均小于对照组，Ramsay评分高于对照组（p＜0.05）。结论 右美托咪定联合罗哌卡因用于俄罗斯病人保胆手术TAP，可有效增强镇痛效果，维持血流动力学稳定，且安全性良好，值得临床推广应用。

Abstract

Objective To explore the application of dexmedetomidine combined with ropivacaine in the preservation of bile duct surgery (TAP) in Russian patients.
Methods Sixty Russian patients who underwent bile preservation surgery in our hospital from January 2023 to January 2025 were randomly divided into a control group (simple ropivacaine TAP) and an observation group (dexmedetomidine combined with ropivacaine TAP). Compare the postoperative pain level, hemodynamic related indicators, sedation status, and occurrence of adverse reactions between two groups.
Results The VAS score and incidence of adverse reactions in the observation group were lower than those in the control group, and the fluctuations in SBP, DBP, and HR were all smaller than those in the control group. The Ramsay score was higher than that in the control group (p<0.05).
Conclusion   The combination of dexmedetomidine and ropivacaine for bile preservation surgery (TAP) in Russian patients can effectively enhance analgesic effects, maintain hemodynamic stability, and have good safety, which is worthy of clinical promotion and application.