麻醉药物在胃癌术后镇痛中的研究现状  

Research Status of Narcotic Drugs in Postoperative Analgesia of Gastric Cancer

作　　者：王柏榆 张大权 杨桐伟[3] 王东昕[1] WANG Baiyu;ZHANG Daquan;YANG Tongwei;WANG Dongxin(Department of Anesthesiology,Jilin Provincial Cancer Hospital,Changchun 130012,China;Department of Vascular Surgery,Jilin Province FAW General Hospital,Changchun 130013,China;Department of Anesthesiology,the Second Hospital of Jilin University,Changchun 130012,China)

机构地区：[1]吉林省肿瘤医院麻醉科,长春130012 [2]吉林省一汽总医院血管外科,长春130013 [3]吉林大学第二医院麻醉科,长春130012

出　　处：《医学综述》2022年第17期3478-3482,共5页Medical Recapitulate

摘　　要：胃癌是常见的恶性肿瘤之一,全胃切除、远端切除等手术方案是胃癌患者最主要和最有效的治疗方式。但手术治疗具有创伤性,术后恢复、疼痛控制等成为术后的突出问题。胃癌术后疼痛控制不良可引起应激反应和炎症过程,导致免疫抑制,恢复延迟,影响患者预后等。因此,术后镇痛对胃癌手术患者尤为重要。麻醉药物在疼痛控制中较为关键,胃癌术后镇痛的麻醉药物包括阿片类药物、非甾体抗炎药等,在镇痛效果、免疫保护、抗炎作用等方面各具优势。Gastric cancer is one of the common malignant tumors.Total gastrectomy and distal gastrectomy are the most important and effective methods in the treatment of patients with gastric cancer.However,surgical treatment is traumatic,And postoperative recovery and pain control are prominent problems.Poor postoperative pain control of gastric cancer will cause stress response and inflammatory process,cause immunosuppression,delay the patient recovery,and affect the prognosis.Therefore,postoperative analgesia is more important for the patients with gastric cancer.Narcotic drugs are key in pain control,and narcotic drugs for postoperative analgesia of gastric cancer include opioids and nonsteroidal anti-inflammatory drugs,which have their own advantages in analgesic effect,immune protection and anti-inflammatory effect respectively.

关 键 词：胃癌 镇痛 麻醉药物 

分 类 号：R735.2[医药卫生—肿瘤]