肾脏相关腹腔镜手术应用静脉自控镇痛泵的效果分析

目的分析泌尿外科肾脏相关腹腔镜手术术后患者应用静脉自控镇痛泵(PCIA)的效果。方法通过电话回访及相关病历查阅收集本院344例接受泌尿外科肾脏相关腹腔镜手术患者的相关数据,并根据使用PCIA与否分为未使用组(G 1)(n=269)与使用组(G 2)(n=75),比较2组患者间一般情况、数字疼痛评分(numeric rating scales,NRS)、欧洲五维健康量表评分(EQ-5 D)以及术后并发症的差异。结果 G 2组NRS评分显著低于G 1组,差异有统计学意义(P<0.05);而2组间EQ-5 D评分则差异无统计学意义;G 2组术后恶心呕吐的例数低于G 1组,术后嗜睡例数高于G 1组,但2组间术后并发症差异无统计学意义。结论在肾脏相关腹腔镜手术中,术后使用静脉自控镇痛泵的患者其疼痛程度明显降低,但对患者术后长期健康状况无明显影响;使用PCIA与否术后患者均存在恶心呕吐、嗜睡等不良反应。

Objective To analyse the effect of using patient controlled intravenous analgesia （PCIA） afterurologic renal-related laparoscopic surgery. Methods Through interviewe the patients that undergoing urologic renal-related laparoscopic surgery by telephone and retrieving the cases, we successfully collected 344 patients＇ informations and divided them into 2 groups：G 1 （n=269） is the group that patients who used PCIA and G 2 （n=75） is not, then compared the difference of their normal statas,NRS scores,EQ-5 D scores and the postoperative complications. Results NRS score in G 2 was significantly lower than the G 1, the difference was statistically significant （P〈0.05）; and EQ-5 D score between the two groups had no significant difference;the number of postoperative nausea and vomiting was less in G 1,And the number of drowsiness was higherbut the two groups had no significant difference. Conclusion Using PCIA can reduce the degree of postoperative pain in urologic renal-related laparoscopic surgery, but have no influence on the patients＇ long-term quality of life; The two groups both have some postoperative complications such as nausea and vomiting.