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目的：探讨曲马多超前镇痛对腹腔镜胆囊切除术患者的影响。方法选择全麻患者60例，随机分为c组（对照组，n=30）、T组（曲马多组，n=30）。术中切实补足血容量。试验组手术前l5min静脉注射曲马多l00mg(10ml)，对照组注射生理盐水l0ml作为对照。记录术后1、2、4、6、12和24h视觉模拟评分(vAs)。结果试验组VAS明显低于对照组(P<0.05)。结论曲马多超前镇痛对腹腔镜胆囊切除术患者产生较好的镇痛效果。“,”Objective to investigate tramadol advanced analgesic ef ect on patients with laparoscopic cholecystectomy. Methods select 60 cases patients with general anesthesia, were randomly divided into group c (control group, n=30), group T (tramadol group, n=30). Intraoperative supplement blood capacity. Patients before surgery l5min intravenous tramadol lOOmg (10 ml) and control group injected physiological saline lOml as controls. Record postoperative 1, 2, 4, 6, 12 and 24 h visual analogue scale (vAs). Results VAS trial group was lower than that in control group (P< 0.05). Conclusion tramadol analgesia in advance bet er analgesic ef ects of laparoscopic cholecystectomy patients.