老年胰腺癌术后镇痛措施效果评价  

Evaluation of postoperative analgesic measures for elderly patients with pancreatic cancer

作　　者：史斌 孙庆旭 SHI Bin;SUN Qing-xu(Department of Anesthesiology,Linyi Tumor Hospital,Shandong Province,Linyi276000,China;General Surgery Department,Linyi Tumor Hospital,Shandong Province,Linyi276000,China)

机构地区：[1]山东省临沂市肿瘤医院麻醉科,山东临沂276000 [2]山东省临沂市肿瘤医院普外科,山东临沂276000

出　　处：《中国现代普通外科进展》2021年第3期186-189,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:对老年胰腺癌切除术术后镇痛措施效果进行量化分析,作为改进镇痛措施的依据,以提高术后镇痛效果,降低术后并发症。方法:对2015年—2018年老年胰腺癌切除术41例患者镇痛效果进行回顾性研究,连续观察术后疼痛评估次数和镇痛效果,进行分析评价。镇痛效果采用数字评分系统。结果:41例患者术后1~14 d的疼痛评估结果:术后疼痛监测,平均每天7.3次;疼痛评分中位数0-4.5,术后第6天疼痛中位数评分最高;每天最高疼痛评分8~10。术后1、2、4、5 d,患者镇痛最不充分,尤其是术后第一天最显著。结论:目前老年胰腺肿瘤术后镇痛效果还有待提高。Objective:To assess the postoperative analgesic effectiveness in elderly patients with pancreatic cancer,and to improve the analgesic effect and reduce postoperative complications.Methods:A retrospective study was conducted on the analgesic effectiveness in 41 elderly patients with pancreatic cancer surgery from 2015 to 2018.The postoperative pain assessment frequency and analgesic effect were continuously observed and analyzed.A numerical scoring system was used to quantitate the analgesic effect.Results:Pain assessment was performed from postoperative day 1 to 14,average 7.3 times per day.Median pain score was 0~4.5,with the highest score on the postoperative day 6.The highest daily pain score was 8~10.Insufficient postoperative analgesia was most commonly observed on postoperative day 1,2,4 and 5,the worst on the postoperative day 1.Conclusion:The postoperative analgesic effect of in elderly patients with pancreatic tumor should be improved.

关 键 词：胰腺肿瘤 术后镇痛 老年人 

分 类 号：R735.9[医药卫生—肿瘤]