不同麻醉方式下胃癌根治术后患者疼痛缓解情况

Pain Relief of Patients after Radical Gastric Cancer Surgery under Different Anesthesia Methods

目的对不同麻醉方式下胃癌根治术后患者疼痛缓解情况进行对比。方法在该院2017年12月—2019年12月收治的胃癌患者中抽取80例作为研究样本,随机分为对照组与观察组,每组40例。对照组患者在行胃癌根治术时采用全身麻醉,观察组患者在全身麻醉基础上加以硬膜外麻醉,对两组患者的术后疼痛程度、不良反应发生情况进行比较。结果两组患者术后1 h疼痛视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);术后4、8、24 h,观察组患者VAS评分均明显低于对照组,组间差异有统计学意义(P<0.05)。观察组患者不良反应发生率(32.50%)低于对照组(45.00%),差异有统计学意义(P<0.05)。结论在对胃癌患者行根治术时,通过采用全身麻醉联合硬膜外麻醉,能够有效缓解患者术后疼痛,改善预后效果,提升其生活质量,有较高的推广应用价值。

Objective To compare the pain relief and recovery of patients after radical resection of gastric cancer under different anesthesia methods.Methods In the hospital from December 2017 to December 2019,80 cases of gastric cancer patients were selected as the research samples,and they were randomly divided into a control group and an observation group,with 40 cases in each group.Patients in the control group received general anesthesia during radical gastric cancer surgery,and patients in the observation group received epidural anesthesia on the basis of general anesthesia.The postoperative pain degree and adverse reactions of the two groups were compared.Results There was no statistically significant difference in pain visual analogue scale(VAS)scores between the two groups of patients at 1 h after surgery(P>0.05);at 4,8,and 24 h after surgery,the VAS scores of the observation group were significantly lower than those of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of adverse reactions in the observation group(32.50%)was lower than that in the control group(45.00%),and the difference was statistically significant(P<0.05).Conclusion In radical mastectomy for patients with gastric cancer,general anesthesia combined with epidural anesthesia can effectively relieve the postoperative pain of the patient,improve the prognosis,and improve the quality of life of the patient.It has a high clinical promotion value.