中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
25期
194-195
,共2页
胃癌根治术%全麻%硬膜外阻滞麻醉%疼痛
胃癌根治術%全痳%硬膜外阻滯痳醉%疼痛
위암근치술%전마%경막외조체마취%동통
Radical operation of gastric cancer%General anesthesia%Epidural block anesthesia%Pain
目的：探索全麻联合硬膜外阻滞麻醉对胃癌根治术患者疼痛的影响。方法选取2013年4月～2015年4月我院收治的120例行胃癌根治术的患者的临床资料，按麻醉时采取的方式分两组，对照组55例行全麻，观察组65例行全麻联合硬膜外阻滞麻醉，对两组重度疼痛发生率、术后1 h、4 h、8 h、12 h、24 h VAS疼痛评分进行比较。结果观察组重度疼痛发生率小于对照组、术后VAS评分低于对照组，差异均有统计意义（P<0.05）。结论胃癌根治术后应用全麻联合硬膜外阻滞麻醉可以减轻患者的疼痛。
目的：探索全痳聯閤硬膜外阻滯痳醉對胃癌根治術患者疼痛的影響。方法選取2013年4月～2015年4月我院收治的120例行胃癌根治術的患者的臨床資料，按痳醉時採取的方式分兩組，對照組55例行全痳，觀察組65例行全痳聯閤硬膜外阻滯痳醉，對兩組重度疼痛髮生率、術後1 h、4 h、8 h、12 h、24 h VAS疼痛評分進行比較。結果觀察組重度疼痛髮生率小于對照組、術後VAS評分低于對照組，差異均有統計意義（P<0.05）。結論胃癌根治術後應用全痳聯閤硬膜外阻滯痳醉可以減輕患者的疼痛。
목적：탐색전마연합경막외조체마취대위암근치술환자동통적영향。방법선취2013년4월～2015년4월아원수치적120례행위암근치술적환자적림상자료，안마취시채취적방식분량조，대조조55례행전마，관찰조65례행전마연합경막외조체마취，대량조중도동통발생솔、술후1 h、4 h、8 h、12 h、24 h VAS동통평분진행비교。결과관찰조중도동통발생솔소우대조조、술후VAS평분저우대조조，차이균유통계의의（P<0.05）。결론위암근치술후응용전마연합경막외조체마취가이감경환자적동통。
Objective To explore the effect of general anesthesia combined with epidural block anesthesia on the postoperative pain of patients with gastric cancer. Methods The clinical data of 120 patients with gastric cancer treated in our hospital from April 2013 to April 2015 were divided into two groups, the control group was treated with 55 cases,the observation group was treated with epidural anesthesia,two groups were compared with 65 groups of severe pain,4 h,8 h,1 h,12 h and 24 h VAS. Results The incidence of severe pain in the observation group was less than that in the control group,the VAS score was significantly lower than that in the control group,the difference was statistical y significant(P< 0.05). Conclusion Combined with epidural block anesthesia can reduce the pain of patients with gastric cancer after radical gastrectomy.
