摘要
目的探讨不同的麻醉方式对胃癌根治术术后患者疼痛程度的影响。方法选择社旗县人民医院100例胃癌根治术患者作为研究对象,其中麻醉方式为全麻的50例患者纳入单纯全麻组(n=50),麻醉方式为全麻复合硬膜外麻醉的50例纳入复合麻醉组(n=50),比较两组患者术后1 h、4 h、8 h、12 h和24 h的疼痛程度评分,重度痛发生率及术后患者的24 h内的镇痛药物使用量。结果复合麻醉组患者术后各时间点的疼痛程度评分均低于单纯全麻组(P<0.05),重度痛发生率低于单纯全麻组(P<0.05),镇痛药物使用量低于单纯全麻组(P<0.05)。结论胃癌根治术采用全麻复合硬膜外麻醉的麻醉方式可有效降低患者术后疼痛程度,减少术后重度痛发生并减少镇痛药物用量。
Objective To explore the different anesthesia methods on postoperative pain in patients with gastric cancer extent. Methods The research chooses 100 cases of patients undergoing the radical operation for cancer of stomach from the People＇s Hospital of Sheqi County as research objects,of which 50 cases receiving the general anesthesia are included into the general anesthesia group（n=50） and 50 cases receiving the combined general- epidural anesthesia are included into the combined anesthesia group（n=50）. The research compares the two groups in terms of pain degree score in 1 h,4 h,8 h,12 h and 24 h after the operation,the severe pain occurrence rate,and the amount of analgesic drug taken by patients within 24 hours after the operation. Results Anesthesia group,postoperative pain each time point scores were lower than the general anesthesia group（P〈0.05）,the incidence of severe pain was significantly lower than general anesthesia group（P〈0.05）,analgesic medication use was significantly lower than the general anesthesia group（P〈0.05）. Conclusion Gastrectomy using general anesthesia combined with epidural anesthesia can effectively reduce postoperative pain and reduce postoperative occurrence of severe pain and reducing the amount of analgesic drugs.
出处
《中国继续医学教育》
2016年第1期63-64,共2页
China Continuing Medical Education
