【摘要】 目的:探讨不同的麻醉方式对胃癌根治术后患者疼痛程度的影响。方法:对我院2010年6月至2012年11月所做的胃癌根治术患者的临床资料进行回顾,并从其中选出80例进入研究,其中麻醉方式为全麻的患者进入单纯全麻组40例,麻醉方式为全麻复合硬膜外麻醉的进入复合麻醉组40例,分别比较两组患者术后1h、4h、8h、12h和24h的疼痛程度评分,重度痛发生率及术后患者的24h内的镇痛药物使用量。结果:复合麻醉组患者术后各时间点的疼痛程度评分均低于单纯全麻组(P<0.05),重度痛发生率明显低于单纯全麻组(P<0.01),镇痛药物使用量明显低于单纯全麻组(P<0.01)。结论:胃癌根治术采用全麻复合硬膜外麻醉的麻醉方式可有效降低患者术后疼痛程度,减少术后重度痛发生并减少镇痛药物用量。更多还原

【Abstract】 Objective: To investigate the different anesthesia methods on postoperative pain in patients with gastric cancer extent. Methods:The institutes do gastrectomy in patients with clinical data, including anesthesia, anesthesia for patients to enter general anesthesia group of 40 patients, anesthesia is anesthesia combined with epidural anesthesia group of 40 patients entering were compared postoperative 1h, 4h, 8h, 12h, and 24h, pain scores, the incidence of severe pain and postoperative pain medication within 24h usage. Results:Anesthesia group, postoperative pain each time point scores were lower than the general anesthesia group(P<0.05), the incidence of severe pain was significantly lower than general anesthesia group(P<0.01), analgesic medication use was significantly lower than the general anesthesia group(P<0.01).Conclusion:Gastrectomy using general anesthesia combined with epidural anesthesia can effectively reduce postoperative pain and reduce postoperative occurrence of severe pain and reducing the amount of analgesic drugs, in clinical use.更多还原