超前镇痛对胰腺癌患者术后快速康复的影响  

Effects of preemptive analgesia on rapid rehabilitation of patients undergoing surgery for pancreatic cancer

作　　者：王喜芹[1] 陈阳[1] 李惠艳[2] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院肝胆胰外科,黑龙江哈尔滨150081 [2]哈尔滨医科大学附属肿瘤医院护理部,黑龙江哈尔滨150081

出　　处：《护理学杂志》2016年第16期37-39,共3页Journal of Nursing Science

摘　　要：目的探讨超前镇痛对促进胰腺癌患者术后快速康复的作用。方法将60例胰十二指肠切除术患者随机分为观察组和对照组各30例。对照组术后常规采用镇痛泵镇痛;观察组在使用镇痛泵的同时,每天静脉注射帕瑞西布钠2次,按时给药。评价两组患者术后疼痛评分,首次离床活动时间,首次肛门排气时间,住院日及患者对镇痛护理满意度。结果观察组术后各时间段疼痛评分及不良反应发生率显著低于对照组(P<0.05,P<0.01),两组首次离床活动时间、首次肛门排气时间均提前于对照组,住院日显著短于对照组,满意度显著高于对照组(均P<0.01)。结论超前镇痛可有效缓解胰十二指肠切除患者术后疼痛程度,促进快速康复。Objective To investigate the effect of preemptive analgesia on rapid rehabilitation of patients undergoing surgery for pan- creatic cancer. Methods A total of 60 patients after pancreaticoduodenal resection were randomly divided into an observation group and control group, each of 30 cases. The control group were given postoperative analgesia, while the observation group were addi- tionally given intravenous Parecoxib twice a day on time. Postoperative pain scores, the time of postoperative ambulation, and gas passage, length of hospital stay, and patient satisfaction with pain care, were compared between the 2 groups. Results Postoperative pain scores at different time points, and rate the adverse reations in the observation group were significantly lower than the control group（P〈0.05 for all） ; the time to ambulate and pass gas, length of hospital stay was shortened , and patient satisfaction with pain care was higher, in the observation group than the control group （P〈0.05 for all）. Conclusion Preemptive analgesia can effectively relieve postoperative pain of patients after pancreaticoduodenal resection, and promote rapid recovery.

关 键 词：胰腺癌 胰十二指肠切除 超前镇痛 帕瑞昔布钠 快速康复外科 

分 类 号：R473.6[医药卫生—护理学]