老年结直肠肿瘤腹腔镜手术快通道麻醉行超前镇痛对复苏质量的影响分析

发布时间：2018-05-25 02:36

本文选题：超前镇痛 + 结直肠肿瘤　；参考：《中外医疗》2016年34期

【摘要】：目的对超前镇痛对老年结直肠肿瘤腹腔镜手术快通道麻醉后复苏质量的影响进行分析探讨,为今后的临床工作提供有价值的参考信息。方法方便选择2014年1月—2015年12月间在该院接受腹腔镜手术治疗的结直肠老年患者78例作为研究对象,将其按照入院时间顺序分成两组,分别定义为观察组和对照组,每组39例。观察组患者接受超前镇痛,对照组患者不接受超前镇痛,两组患者其他治疗方式、麻醉方式相同。对两组患者麻醉后复苏质量进行对比分析。结果观察组手术出血量(311.15±26.17)m L、输液量(2 019.32±102.31)m L、手术时间(181.92±13.19)min等各项指标略高于对照组比较(309.04±23.26)m L,(1 974.66±111.19)m L,(178.54±12.97)min,差异无统计学意义(P0.05);观察组患者术后意识恢复时间(10.64±1.23)min、拔管时间(12.88±1.23)min略长于对照组(10.18±1.33)min,(12.63±1.33)min,差异无统计学意义(P0.05);观察组拔管后镇静状况优于对照组(P0.05);观察组患者术后呼吸困难、躁动、呻吟等不良症状的发生率较对照组发生显著降低(P0.05)。结论超前镇痛在快通道麻醉中的镇痛效果显著,麻醉后复苏质量较高,减少了苏醒期的不良并发症,安全性高。
[Abstract]:Objective to analyze the effect of preemptive analgesia on the quality of rapid channel resuscitation after laparoscopic surgery for colorectal neoplasms in elderly patients, and to provide valuable reference information for clinical work in the future. Methods Seventy-eight elderly colorectal patients who received laparoscopic surgery from January 2014 to December 2015 were selected as study subjects. They were divided into two groups according to the time of admission, which were defined as observation group and control group, respectively. 39 cases in each group. The patients in the observation group received preemptive analgesia, while the patients in the control group did not receive preemptive analgesia. The quality of resuscitation after anesthesia was compared between the two groups. Results the postoperative bleeding volume, infusion volume and operation time of the observation group were 311.15 卤26.17mL, 2 019.32 卤102.31ml / L and 181.92 卤13.19)min, respectively, which were slightly higher than those of the control group (309.04 卤23.26mL / L, 178.54 卤12.97min, respectively), the time of consciousness recovery was 10.64 卤1.23min, the extubation time was 12.88 卤1.23)min. There was no significant difference between the control group (10.18 卤1.33 min) and the control group (12.63 卤1.33 min), the sedation after extubation in the observation group was better than that in the control group (P 0.05), and the patients in the observation group had dyspnea after operation. The incidence of restlessness, moaning and other adverse symptoms was significantly lower than that of the control group (P 0.05). Conclusion preemptive analgesia is effective in fast channel anaesthesia, and the quality of resuscitation is higher after anesthesia.
【作者单位】：福建医科大学附属闽东医院麻醉科;
【分类号】：R614;R735.3

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