基于加速康复外科理念的多模式镇痛管理在腹腔镜结直肠癌根治术中的应用研究  

Application Effcacy of Multi-mode Analgesia Management Based on Enhanced Recovery After Surgery Idea Amidst Laparoscopic Radical Surgery for Colorectal Carcinoma

作　　者：常素霞 CHANG Su-xia(Dept.of Emergency Surgery,the 4th People’s Hospital of Shangqiu City,Shangqiu,Henan 476100)

机构地区：[1]商丘市第四人民医院急诊外科,河南商丘476100

出　　处：《中国肛肠病杂志》2020年第11期28-30,共3页Chinese Journal of Coloproctology

摘　　要：为探讨基于加速康复外科(ERAS)理念的多模式镇痛管理在腹腔镜结直肠癌根治术中的应用效果,将2018年8月至2020年3月于我院拟行腹腔镜结直肠癌根治术治疗的120例患者采用随机数字表法分为对照组和观察组,每组60例,对照组患者围术期接受传统镇痛管理及常规护理,观察组患者在常规护理的基础上接受基于ERAS理念的多模式镇痛管理。比较2组患者术后不同时间疼痛程度(VAS评分)、麻醉及术后恢复相关指标、并发症。结果显示,观察组患者术后6h、12h、24h、48hVAS评分均明显低于对照组,术后镇痛药追加次数、镇痛泵按压次数及有效按压次数均明显少于对照组,术后首次排气时间、首次排便时间、下床活动时间及住院时间均明显短于对照组,术后并发症发生率明显低于对照组,P<0.05。结果表明,对腹腔镜结直肠癌根治术者实施基于ERAS理念的多模式镇痛管理,术后镇痛效果好,患者痛苦小,而且术后恢复快、并发症少,值得临床推广应用。This study was to investigate the application efficacy of multi-mode analgesia management(MMAM)based on enhanced recovery after surgery(ERAS)idea amidst laparoscopic radical surgery for colorectal cancer in authors’hospital(2018-08-2020-03)into control group(60 cases,at perioperation received routine analgesia management and nursing)and observation group(60 cases,based on routine nursing,added with MMAM based on ERAS idea);then,compared both groups’VAS ratings on pain intensity at postoperative different time-points,and relevant norms of anesthesia and postoperative recovery,as well as complication.As results,at 6,12,24,and 48 hrs after surgery in observation group VAS ratings were significantly lower than that in control group.In number of times for postoperatively adding analgesic,for pressuring analgetic pump,and of effective pressure observation group was all significantly less than control group;in the time for postoperative first-time flatus,first-time defecation,out-of-bed ambulation,and for hospitalization observation group was significantly shorter than control group;in postoperative complication incidence observation group was significantly lower than control group,above every items’comparison showed statistical difference(P<0.05).Results show that above-mentioned MMAM has better postoperative analgesia efficacy,less patients’sufferings,faster postoperative recovery,and less complication,thus it is worthy to be popularized to use clinically.

关 键 词：结直肠癌 腹腔镜手术 快速康复外科理念 多模式镇痛管理 效果 

分 类 号：R735.34[医药卫生—肿瘤]