胃癌根治术患者术后应用氟比洛芬酯联合吗啡镇痛方案的镇痛效果及吗啡用量

The analgesic effect and the dosage of morphine for analgesia by flurbiprofen axetil combined with morphine in application of postoperative patients with gastric cancer radical operation

目的:分析胃癌根治术患者术后应用氟比洛芬酯联合吗啡镇痛方案的镇痛效果及吗啡用量。方法:收治胃癌根治术患者80例,随机平分为两组。对照组接受单纯吗啡镇痛,观察组接受氟比洛芬酯联合吗啡镇痛,对结果进行对比分析。结果:观察组VAS评分值低于对照组,BCS及Ramsay评分值高于对照组;观察组的吗啡总用量少于对照组,术后肛门排气时间及恢复正常饮食时间均短于对照组,差异均有统计学意义(P<0.05)。结论:胃癌根治术患者接受氟比洛芬酯联合吗啡镇痛,可以减轻疼痛感受、减少吗啡总用量,避免胃肠道不良反应的产生。

Objective:To analyze the analgesic effect and the dosage of morphine for analgesia by flurbiprofen axetil combinedwith morphine in application of postoperative patients with gastric cancer radical operation.Methods:80 patients with gastriccancer radical operation were selected.They were randomly divide into the two groups.Patients in the control group receivedmorphine analgesia.Patients in the observation group received flurbiprofen axetil combined with morphine for analgesia.We madea comparative analysis of the results.Results:The VAS score of the observation group was lower than that of the control group, andthe BCS and Ramsay scores were higher than those in the control group.The total amount of morphine in the observation groupwas less than that of the control group,and postoperative anal exhaust time and the time of the recovery of normal diet were shorterthan those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Flurbiprofen axetil combinedwith morphine in application of patients with gastric cancer radical operation for analgesia can relieve pain,reduce the totalamount of morphine,avoid adverse reaction of gastrointestinal tract.