全麻复合硬膜外阻滞对胸腔镜肺癌根治术后患者镇痛效果的影响

Effects of General Anesthesia Combined with Epidural Block on Postoperative Analgesia in Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer

目的探讨全麻复合硬膜外阻滞对胸腔镜肺癌根治术后患者镇痛效果的影响。方法以82例肺癌患者作为研究对象,根据随机数字表法分为观察组与对照组各41例,所有患者于胸腔镜下行肺癌根治术,对照组给予全麻,观察组给予全麻复合硬膜外阻滞,记录两组镇痛效果与术后恢复情况。结果观察组术后6 h、术后48 h的疼痛评分明显低于对照组(P <0. 05)。观察组的吗啡补充应用剂量、患者自控按压药物次数明显少于对照组(P <0. 05),同时观察组的术后住院时间和术后拔除胸管时间也明显短于对照组(P <0. 05)。观察组术后3个月的生理机能、生理职能、躯体疼痛、一般健康评分都明显高于对照组(P <0. 05)。结论全麻复合硬膜外阻滞在胸腔镜肺癌根治术中的应用能提高患者术后镇痛效果,提高麻醉效果,促进患者康复,从而改善患者的生活质量,值得临床推广。

Objective To investigate the effects of general anesthesia combined with epidural block on postoperative analgesia in patients undergoing thoracoscopic radical resection of lung cancer. Methods 82 cases of patients with lung cancer were selected and divided into the observation group and the control group,each group with 41 cases all patients were given thoracoscopic lung resection,the control group was given general anesthesia,the observation group was given eneral anesthesia combined with epidural block,the postoperative recovery and analgesic effect in the 2 groups were recorded. Results The postoperative 6h and 48h pain scores in the observation group were significantly lower than those of the control group（ P〈0.05）.The dosage of morphine supplement and the number of patient controlled medication in the observation group were significantly less in the observation group than the control group（ P〈0.05）,and the postoperative hospital stay and the removal of chest tube time were significantly shorter in the observation group than the control group（ P〈0.05）.The postoperative 3 months of physiological,physiological,physical and general health scores in the observation group were significantly higher than that of the control group（ P〈0.05） . Conclusion General anesthesia combined with epidural anesthesia in patients undergoing thoracoscopic radical resection of lung cancer can improve postoperative analgesia,improve the anesthetic effect,promote the rehabilitation of patients,so as to improve the quality of life of patients,it is worthy of promotion.