International Journal of Clinical Research

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.

Dexmedetomidine; Ropivacaine; Transverse abdominis plane block; Gallbladder preservation surgery; Russian patients