CAJ | 학술논문

目的：分析泌尿外科肾脏相关腹腔镜手术术后患者应用静脉自控镇痛泵（PCIA）的效果。方法通过电话回访及相关病历查阅收集本院344例接受泌尿外科肾脏相关腹腔镜手术患者的相关数据，并根据使用PCIA与否分为未使用组（G 1）（n=269）与使用组（G 2）（n=75），比较2组患者间一般情况、数字疼痛评分（numeric rating scales，NRS）、欧洲五维健康量表评分（EQ-5D）以及术后并发症的差异。结果 G2组NRS评分显著低于G1组，差异有统计学意义（P<0.05）；而2组间EQ-5 D评分则差异无统计学意义；G 2组术后恶心呕吐的例数低于G 1组，术后嗜睡例数高于G 1组,但2组间术后并发症差异无统计学意义。结论在肾脏相关腹腔镜手术中，术后使用静脉自控镇痛泵的患者其疼痛程度明显降低，但对患者术后长期健康状况无明显影响；使用PCIA与否术后患者均存在恶心呕吐、嗜睡等不良反应。
목적：분석비뇨외과신장상관복강경수술술후환자응용정맥자공진통빙（PCIA）적효과。방법통과전화회방급상관병력사열수집본원344례접수비뇨외과신장상관복강경수술환자적상관수거，병근거사용PCIA여부분위미사용조（G 1）（n=269）여사용조（G 2）（n=75），비교2조환자간일반정황、수자동통평분（numeric rating scales，NRS）、구주오유건강량표평분（EQ-5D）이급술후병발증적차이。결과 G2조NRS평분현저저우G1조，차이유통계학의의（P<0.05）；이2조간EQ-5 D평분칙차이무통계학의의；G 2조술후악심구토적례수저우G 1조，술후기수례수고우G 1조,단2조간술후병발증차이무통계학의의。결론재신장상관복강경수술중，술후사용정맥자공진통빙적환자기동통정도명현강저，단대환자술후장기건강상황무명현영향；사용PCIA여부술후환자균존재악심구토、기수등불량반응。
Objective To analyse the effect of using patient controlled intravenous analgesia (PCIA) afterurologic renal-related laparoscopic surgery.Methods Through interviewe the patients that undergoing urologic renal-related laparoscopic surgery by telephone and retrieving the cases, we successfully collected 344 patients’ informations and divided them into 2 groups:G1(n=269) is the group that patients who used PCIA and G2 (n=75) is not, then compared the difference of their normal status,NRS scores,EQ-5D scores and the postoperative complications.Results NRS score in G2 was signifi cantly lower than the G1, the difference was statistically signifi cant (P<0.05); and EQ-5D score between the two groups had no signifi cant difference;the number of postoperative nausea and vomiting was less inG1,And the number of drowsiness was higherbut the two groups had no signifi cant difference.Conclusion Using PCIA can reduce the degree of postoperative pain in urologic renal-related laparoscopic surgery, but have no infl uence on the patients’ long-term quality of life; The two groups both have some postoperative complications such as nausea and vomiting.