快速康复外科多模式镇痛在肠道手术病人中的应用

Application of multimodal analgesia of fast track surgery for patients undergoing gastrointestinal operation

[目的]探讨快速康复外科多模式镇痛在肠道手术病人中的疼痛控制效果。[方法]将108例肠道手术病人随机分为观察组57例和对照组51例,观察组实施快速康复多模式镇痛,对照组采用传统的镇痛方法。使用数字评分法(NRS)评估两组病人术前1 d和术后前3 d的疼痛程度,同时观察两组病人术后通气、通便时间,早期下床活动时间和术后并发症的发生情况。[结果]观察组病人的术后疼痛评分明显低于对照组(P<0.05或P<0.01),观察组病人术后通气、通便时间及早期下床时间均早于对照组,术后并发症的发生率较对照组明显降低。[结论]快速康复多模式镇痛可明显提高肠道手术后病人的疼痛控制效果,促进病人胃肠功能的恢复,加快其术后的康复进程。

Objective： To probe into the pain control effect of multimodal analgesia of fast track surgery for patients underwent gastrointestinal operation. Methods： A total of 108 patients undergoing gastrointestinal operation were randomly divided into observation group and control group. Patients in observation group received multimodal analgesia of fast track surgery,while traditional analgesia methods were applied for patients in control group. Numerical rating scale（ NRS） was implicated to estimate the pain degree on preoperative 1 d before and front 3 days after surgery both in observation group and control group,both groups of patients were observed on the postoperative ventilation,purge time,early ambulation time and postoperative complications occurrence. Results： The postoperative pain score of patients in observation group was significantly lower than that in control group（ P0. 05 or P 0. 01）,the observation group postoperative ventilation time,purge time and early ambulation time were earlier than that in control group,the incidence of postoperative complications was significantly lower than that of control group. Conclusion： multimodal analgesia of fast track surgery can significantly improve the patient＇s pain control effect,promote the recovery of gastrointestinal function in patients and accelerate the postoperative rehabilitation process.