放松训练联合预防性镇痛对胃癌患者术后恢复的影响

Effect of relaxation training combined with preventive analgesia on postoperative recovery of patients with gastric cancer

目的探讨放松训练联合预防性镇痛对胃癌患者术后恢复的影响。方法收集2020—2022年郑州大学第一附属医院的胃癌手术患者106例,其中常规干预组48例,联合干预组58例,常规干预组患者采取常规干预措施,术后常规使用静脉镇痛泵,联合干预组患者采取放松训练及预防性镇痛措施,观察两组患者术后恢复及术后疼痛情况,对比干预前后焦虑和抑郁情绪、睡眠质量及生活质量。结果联合干预组患者术后首次排气、首次进食、肠鸣音完全恢复正常、首次下床时间均少于常规干预组(P<0.05)。联合干预组患者术后第1、2、3天视觉模拟评分均优于常规干预组(P<0.05)。两组患者干预后的SAS评分、SDS评分、PSQI评分均较干预前明显降低,生活质量各项评分均较干预前明显升高(P<0.001);联合干预组患者干预后的PSQI及SAS、SDS评分均低于常规干预组,生活质量各项评分均高于常规干预组(P<0.05)。结论放松训练联合预防性镇痛干预胃癌手术患者,可以有效减轻其术后疼痛,改善焦虑及抑郁情绪,提高睡眠质量和生活质量,促进术后恢复,可能有助于延长胃癌患者的生存期。

Objective To explore the effect of relaxation training combined with preventive analgesia on postoperative recovery of patients with gastric cancer.Methods Totally 106 patients with gastric cancer underwent surgery in the First Affiliated Hospital of Zhengzhou University from 2020 to 2022 were collected,including 48 patients in the routine intervention group and 58 patients in the combined intervention group.Patients in the routine intervention group received routine intervention measures including intravenous analgesic pump,while patients in the combined intervention group received relaxation training and preventive analgesic measures.Postoperative recovery and postoperative pain were observed in the two groups.Anxiety and depression,sleep quality and quality of life were compared before and after the intervention.Results The time of first exhaust,bowel sound recovery,first feeding and first getting out of bed in combined intervention group were all lower than those of routine intervention group(P<0.05).Visual analogue scores in combined intervention group were better than those of routine intervention group at the 1st,2nd and 3rd day after surgery(P<0.05).Compared with before intervention,SAS scores,SDS scores and PSQI scores were significantly decreased after intervention,while quality of life scores were significantly increased in the two groups(P<0.001).After intervention,SAS scores,SDS scores,PSQI scores in combined intervention group were lower than those of routine intervention group,quality of life scores in combined intervention group were higher than those of routine intervention group(P<0.05).Conclusion Relaxation training combined with preventive analgesia can effectively reduce postoperative pain,improve anxiety and depression,improve sleep quality and quality of life,and promote postoperative recovery in patients with esophageal cancer,which may help to prolong the survival of patients with gastric cancer.