CAJ | 학술논문

目的:对比不同背景剂量硬膜外镇痛在食管癌根治术中应用效果.方法:87例食管癌根治术患者随机分为A、B两组,A组57例,镇痛泵配以两个100ml容量的,单个背景剂量都是2ml/h,以三通管并联后接入硬膜外导管,B组30例,镇痛泵配以一个100ml容量的,背景剂量2ml/h,术毕接镇痛泵,术后第2天、第3天随访,以视觉模拟评分法(VAS)观察镇痛效果.结果:A组无明显不适,能主动咳痰,B组切口轻微疼痛,咳痰时疼痛加重,都不愿咳痰,A组镇痛优良率明显大于B组(P<0.05).结论:硬膜外镇痛泵规格、种类不一,有机械泵、电子泵,常用的机械泵有2ml/h/100ml的,有4ml/h/200ml的,对食管癌这种创伤大的两切口或三切口手术,4ml/h的背景剂量的硬膜外镇痛优于2ml/h的.
목적:대비불동배경제량경막외진통재식관암근치술중응용효과.방법:87례식관암근치술환자수궤분위A、B량조,A조57례,진통빙배이량개100ml용량적,단개배경제량도시2ml/h,이삼통관병련후접입경막외도관,B조30례,진통빙배이일개100ml용량적,배경제량2ml/h,술필접진통빙,술후제2천、제3천수방,이시각모의평분법(VAS)관찰진통효과.결과:A조무명현불괄,능주동해담,B조절구경미동통,해담시동통가중,도불원해담,A조진통우량솔명현대우B조(P<0.05).결론:경막외진통빙규격、충류불일,유궤계빙、전자빙,상용적궤계빙유2ml/h/100ml적,유4ml/h/200ml적,대식관암저충창상대적량절구혹삼절구수술,4ml/h적배경제량적경막외진통우우2ml/h적.
Objective:Efficacy comparison of different dosage of Epidural analgesia in esophageal cancer surgery. Methods:87 patients undergoing esophageal cancer surgery were divided into group A and B.57 cases in group A were given two 100ml Analgesia pump,background dosage 2ml/h respectively,parallel three-limb tube was connected to Epidural catheter. 30cases in group were given one100ml Analgesia pump,background dosage is 2ml/h,analgesia pump was used after surgery. Followup visits were performed. VAS was used to observe the efficacy. Results:no obvious discomfort in Th in group A,capable ofActive expectoration.Group B patients report mild pain,severer while expectorating,so they are reluctant to expectorating. Analgesia efficacy of group A is significantly better than group B (P<0.05). Conclusion:epidural analgesia pumps have various specification and classification,such as mechanical and electronic pump,and common mechanical pumps have 2ml/h/100ml and 4ml/h/200ml. For esophageal cancer surgery with severe trauma,4ml/h background dosage of epidural analgesia is more favorable than 2ml/h.