快速康复对肝细胞癌切除术后疼痛的影响  

Effect of fast-track surgery on postoperative pain in patients with hepatocellular carcinoma

作　　者：沈燕玲[1] 马倩红[1] 史元媛 王媛媛[1] 唐涛 赵金燕 SHEN Yan-ling;MA Qian-hong;SHI Yuan-yuan;WANG Yuan-yuan;TANG Tao;ZHAO Jin-yan(Department I of General Surgery,Zhongshan People’s Hospital,Zhongshan 528400,China)

机构地区：[1]广东省中山市人民医院普外一科

出　　处：《广东医科大学学报》2019年第6期722-724,共3页Journal of Guangdong Medical University

基　　金：中山市社会发展攻关计划(No.2017SYF04)

摘　　要：目的了解快速康复对肝细胞癌切除术后疼痛的影响。方法 60例肝癌切除术后患者分别采用常规镇痛措施(对照组,30例)或快速康复式镇痛策略(试验组,30例),评价两组患者术后疼痛评分、首次下床活动及肛门排气时间、住院时间、不良反应及护理满意度。结果与对照组相比,试验组术后疼痛评分、不良反应及住院时间减少,首次下床活动及肛门排气时间提前,满意度提高,差异均有统计学意义(P<0.01)。结论快速康复可有效缓解肝细胞癌切除术后患者的疼痛程度,缩短住院时间。Objective To study the effect of fast-track surgery(FTS) on postoperative pain in patients with hepatocellular carcinoma(HCC). Methods Sixty HCC patients underwent hepatectomy were treated with conventional analgesia(control group, n=30) or FTS-based analgesia(experimental group, n=30). Postoperative pain score, first ambulation and anal exhaust time, hospital stay, adverse reactions and nursing satisfaction were compared between 2 groups. Results Compared with control group, postoperative pain score, adverse reactions and hospital stay were lower, first ambulation and anal exhaust time was earlier, and patient satisfaction was higher in experimental group(P<0.01). Conclusion FTS-based analgesia can effectively relieve postoperative pain and shorten hospital stay following hepatectomy,

关 键 词：肝细胞癌 肝切除术 镇痛 快速康复 

分 类 号：R735[医药卫生—肿瘤]