腹部外科病人术后镇痛对能量代谢影响的研究  

The effedect of post-operative analgesia on energery metabolism after abdominal surgery

作　　者：杨秀芳[1] 谢业花 王仁轩[1] 周晶[1] 彭南海[1] 

机构地区：[1]南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2014年第6期346-348,共3页Parenteral & Enteral Nutrition

摘　　要：目的：研究腹部外科病人术后合理有效的镇痛对能量代谢的影响。方法：选取100例胃肠道疾病拟行剖腹手术的病人随机分为两组,对照组病人术后第1-3天,静脉给予曲马朵;试验组病人术后第1-3天静脉给予曲马朵,第4-7天再口服曲马朵片。观察病人术后疼痛评分,并于术前、术后第3、7天观察能量代谢的变化。结果：试验组病人术后使用镇痛剂1周,能量代谢显著降低,与对照组比差异有显著性统计学意义（P〈0.01）。术后第4天,试验组病人活动时疼痛评分亦较对照组显著降低（P〈0.05）。结论：手术后使用足量有效的镇痛,可减少术后病人的应激反应,降低能量代谢。Objective： To observe the influence of reasonable and effective analgesia on energetic metabolism after abdominal surgery. Methods ： 100 patients who suffered from gastrointestinal diseases and were planed to perform open surgery were randomly divided into two groups. In the control group, tramadol were injected intravenously on 1 st to 3 th days after surgery. In the treatment group, tramadol were injected intravenously on 1 st to 3 rd days after surgery, and given orally on 4 th to 7 th days after surgery. The pain score was measured after surgery and the changes of energetic metabolism were analysed before and on 3 rd and 7 th day after surgery Results ： The energetic metabolism of the treatment group was significantly lower than that of the control group （ P 〈 0. 01 ）. On the 4 th day of postoperation, the pain score of treatment group was gnificantly lower than that of control group （ P 〈 0. 05 ） . Conclusion：Reasonable and effective analgesia after abdominal surgery can release the stress and reduce energetic metabolism.

关 键 词：镇痛 能量代谢 腹部外科病人 

分 类 号：R614[医药卫生—麻醉学]