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  

Analysis of Effect of Preemptive Analgesia on the Recovery Quality of El-derly Colorectal Cancer Laparoscopic Surgery in Fast-track Anesthesia

作　　者：詹如富[1] 蒋润年[1] 翁迪贵[1] 

机构地区：[1]福建医科大学附属闽东医院麻醉科,福建福安355000

出　　处：《中外医疗》2016年第34期128-130,共3页China & Foreign Medical Treatment

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(P>0.05);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(P>0.05);观察组拔管后镇静状况优于对照组(P<0.05);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(P<0.05)。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。Objective To advance the quality of analgesia recovery of elderly colorectal cancer after laparoscopic surgery for fast-track anesthesia were analyzed and discussed, provide valuable reference information for future clinical work. Methods Convenient selection Between January 2014 and December 2015 in our hospital underwent laparoscopic surgery for colorectal aged 78 patients for the study, which was divided into two groups according to the chronological order of admission, defined as observation and control groups of 39 cases. Observation group patients received preemptive analgesia, patients in the control group did not accept preemptive analgesia, patients were other forms of treatment, the same anesthesia. Quality of recovery after anesthesia groups of patients were compared. Results Observe the operative blood loss（ 311.15 ± 26.17）m L, infusion volume（2 019.32±102.31） m L and operation time（181.92 ±13.19） min slightly higher than the control group to compare the indicators（309.04 ±23.26） m L,（1 974.66 ±111.19） m L,（178.54 ±12.97） min, no statistical difference（P〉0.05）; Observation group of patients with postoperative recovery time of consciousness（10.64 ±1.23） min, extubation time（12.88±1.23） min is slightly longer than the control group（10.18±1.33） min and（12.63 ± 1.33） min, no significant difference（P〉0.05）; Observation group after extubation calm condition is better than that of control group（P〈0.05）; Observation group of patients with postoperative adverse symptoms such as dyspnea, restlessness, groan incidence was significantly reduced（P〈0.05）. Conclusion The effect of preemptive analgesia in fast-track anesthesia was significantly higher after anesthesia quality and reduce the recovery period of adverse symptoms, safety.

关 键 词：超前镇痛 结直肠肿瘤 老年患者 快通道麻醉 复苏质量 

分 类 号：R614[医药卫生—麻醉学]