胃癌患者行全身麻醉复合硬膜外麻醉对术后镇痛的影响

发布时间：2019-05-23 20:32

【摘要】：目的探讨全身麻醉复合硬膜外麻醉对胃癌患者术后镇痛效果的影响。方法以80例行胃癌根治术的患者作为研究对象,将其根据麻醉方式不同分为对照组与观察组,每组40例。对照组给予单纯全麻,观察组给予全身麻醉复合硬膜外麻醉,观察两组患者术后不同时间段VAS评分情况、PCIA使用次数及不良反应发生情况等。结果观察组术后2、4、8、12、24 h VAS评分明显低于对照组(P0.05);观察组48 h内PCIA按压次数低于对照组,镇静评分高于对照组(P0.05),不良反应发生率为10.0%,明显低于对照组的32.5%(P0.05)。结论胃癌患者手术时采用全身麻醉复合硬膜外麻醉,可明显改善患者术后疼痛情况,提高术后镇痛效果,减少不良反应,改善预后及生活质量,其临床应用价值高。
[Abstract]:Objective to investigate the effect of general anesthesia combined with epidural anesthesia on postoperative analgesia in patients with gastric cancer. Methods 80 patients undergoing radical resection of gastric cancer were divided into control group (n = 40) and observation group (n = 40) according to different anaesthesia methods. The control group was given general anesthesia and the observation group was given general anesthesia combined with epidural anesthesia. The VAS score, the frequency of PCIA use and the occurrence of adverse reactions in the two groups were observed at different time points after operation. Results the VAS score of the observation group at 24 h was significantly lower than that of the control group at 2, 4, 8, 12 and 24 h after operation (P 0.05). The number of PCIA compression in the observation group was lower than that in the control group within 48 hours, and the sedation score was higher than that in the control group (P 0.05). The incidence of adverse reactions was 10.0%, which was significantly lower than that in the control group (32.5%). Conclusion General anesthesia combined with epidural anesthesia can significantly improve postoperative pain, improve postoperative analgesia, reduce adverse reactions, improve prognosis and quality of life in patients with gastric cancer.
【作者单位】：山东省医学科学院附属医院麻醉科;济南市槐荫人民医院内科;
【分类号】：R614;R735.2

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