关于术后镇痛对循环功能影响的临床研究

Clinical research on the effects of postoperative analgesia of circulation system

目的观察不同镇痛方式对于术后循环功能的影响。方法选择普外科45例患者,随机均分为3组,即实验组:静脉镇痛组(VA组)、硬膜外镇痛组(EA组),对照组:肌注镇痛组(MA组)。分别在术前、术后12 h、24 h进行疼痛视觉模拟评分(VSA评分)和循环功能的检测和记录,并对术后并发症进行记录和比较。结果实验组患者的术后疼痛视觉模拟评分、循环功能均优于对照组,并且术后相关并发症的发生率显著低于对照组。结论硬膜外和静脉途径镇痛均能有效的缓解术后疼痛,改善术后患者的循环功能,减少相关并发症。

Objective To oberserve the effects of analgesia of circulation system in patients after the operations.Methods 45 patients scheduled operation were divided randomly into 3 groups ： experimental groups,including intravenous-morphine analgesia group（VA group）and epidural-morphine analgesia group（EA group）,and con-trol group which received morphine through intramuscularly-injection（MA group）.In this research,the preopera-tive and postoperative values were monitored and recorded,such as visual analogue scales（VAS values）,circulato-ry function,postoperative complications,etc.Results The values of the experimental group,such as the circulatory function,visual analogue scales（VAS values）,were better than those of the control group.However,in the research of the complications,the control group has a higher incidence of the complications.Conclusion This research proves that postoperative analgesia,through the methods of epidural or venous analgesia,may alleviate the post-operation algesia efficiently,better the function of heart,reduce the incidence of related postoperative complica-tions.