胃癌术后镇痛对肠功能恢复的观察与护理  

The nurse and observation of intestinal function recovery of gastric cancer postoperative analgesia

作　　者：傅华[1] 

机构地区：[1]安徽医科大学第一附属医院,合肥230022

出　　处：《安徽医药》2003年第4期321-322,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的　探讨胃癌手术后硬膜外持续镇痛对患者肠功能的影响。方法　对 6 0例胃癌术后病人进行随机分组 ,PCEA(pa tientcontrolledEpiduralanalgesia)组 :采用硬膜外持续镇痛 (30例 ) ;对照组 :采用间断注射镇痛剂 (30例 ) ,观察肠蠕动、肛门排气时间及不良反应。结果　肠蠕动恢复时间PCEA组 (5 2 1± 4 3)h ,对照组 (5 1 5± 4 4 )h。肛门排气时间PCEA组 (6 5 4±7 5 )h ,对照组 (5 6 1± 9 3)h。PCEA组不良反应明显少于对照组。结论　术后镇痛不影响胃癌术后肠蠕动恢复 。AIM To investigate the effect of gastric cancer postoperative epidural continuous analgesia on patients' intestinal function. METHODS The sixty patients who experienced the gastric cancer operation were randomly divided into two groups. In PCEA(patient controlled Epidural analgesia) group 30 patients were given postoperative epidural continuous analgesia (PCEA). In control group 30 patients were administered the analgetic. The intestinal peristalsis recovery & anus exhaust time and PCEA's side effect were observed in all patients. RESULTS The intestinal peristalsis recovery time was (52 1±4 3) h in the PCEA group and (51 5±4 4) h in the control group. The anus exhaust time was (65 4±7 5) h in the PCEA group and (56 1±9 3) h in the control group respectively. The side effect was less in the PCEA group than in the control group. CONCLUSION PCEA didn't influence on the recovery of intestinal function but patients should strengthen postoperative activation early.

关 键 词：胃癌 术后疼痛 肠功能恢复 护理 硬膜外持续镇痛 

分 类 号：R473.73[医药卫生—护理学]