超前镇痛对改善肺癌患者术后急性疼痛的效果研究  

Effect of advanced analgesia on postoperative acute pain in patients with lung cancer

作　　者：刘鸿芹[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《浙江医学教育》2017年第6期25-27,48,共4页Zhejiang Medical Education

摘　　要：目的:探讨超前镇痛对肺癌患者术后急性疼痛控制的效果。方法:选取本院2016年4月至2017年4月期间收治择期拟行肺癌手术治疗患者83例,按入院先后进行分组,其中对照组40例,术后采用常规镇痛模式给予急性疼痛控制;观察组43例,实施超前镇痛控制术后急性疼痛,对比2组镇痛效果。结果:观察组患者术后6~24h时间段内视觉模拟评分得分明显低于对照组(P<0.05);观察组患者并发症率低于对照组(P<0.05),镇痛满意度高于对照组(P<0.05),2组患者首次下床活动时间及胸腔引流带管时间无明显差异(P>0.05)。结论:在肺癌手术治疗中采取超前镇痛方式可尽早抑制或扭转中枢的高兴奋性,降低术后疼痛感,促进患者术后恢复。[Objective]To investigate the effect of advanced analgesia on acute pain control in patients with lung cancer.[Method]83 patients admitted to our hospital from April 2016 to April 2017 who were scheduled for lung cancer surgery were enrolled in this study. The subjects were randomly divided into two groups,including 40 cases in the control group who were given postoperative routine analgesia modein case of acute painand 43 in the observation group accepting preemptive analgesia. Then the analgesic effect was compared. [Result]6-24 hours VAS pain scoreafter surgery,complications rate( 6. 98%),analgesia satis-factory of the subjects in observation groupproved better than that of the control groupsignifycantly( P < 0. 05). Postoperative extubation and recovery time of two groups was not significant( P > 0.05). [Conclusion]Preemptive analgesia in lung cancer surgery can inhibit or reverse the excitement of the central nervous system as early as possible,reduce postoperative pain,improve the quality of postoperative recovery of patients to ensure safe through the perioperative period.

关 键 词：超前镇痛 肺癌 急性疼痛控制 

分 类 号：R473.73[医药卫生—护理学]