摘要
目的对盐酸氢吗啡酮硬膜外自控镇痛对腹腔镜直肠癌根治术患者术后康复的影响进行分析和研究.方法该研究回顾分析了2018年5月—2020年2月间在该院进行硬膜外自控镇痛下采取腹腔镜直肠癌根治术治疗的60例患者资料,随机将所有患者分为对照组(n=30)和观察组(n=30).观察组患者使用盐酸氢吗啡酮进行硬膜外自控镇痛,对照组患者使用舒芬太尼进行硬膜外自控镇痛,在患者治疗之后对比两组患者的首次排气时间、排便时间、静脉输液时间、住院时间、首次下床活动时间、VAS评分、首次活动距离以及不良反应出现率.结果对照组患者首次排气时间、排便时间、静脉输液时间以及住院时间均长于观察组,组别之间数据对比差异有统计学意义(P<0.05);对照组患者的首次下床活动时间和VAS评分显著高于观察组,首次活动距离则短于观察组,组别之间数据对比差异有统计学意义(P<0.05);对照组患者术后出现不良反应概率显著高于观察组,组别之间数据对比差异有统计学意义(P<0.05).结论在患者进行腹腔镜直肠癌根治术过程中,采取盐酸氢吗啡酮硬膜外自控镇痛可以有效推动患者身体的恢复,帮助患者进行手术后早期活动,降低患者术后不良反应出现率,值得在临床进行推广.
Objective To analyze and study the effect of hydromorphone hydrochloride epidural self-controlled analgesia on postoperative rehabilitation in patients undergoing radical laparoscopic rectal cancer surgery.Methods 60 patients who underwent laparoscopic rectal cancer resection under epidural self-controlled analgesia in our hospital from May 2018 to February 2020 were selected as research objects,and were randomly divided into a controls group(n=30)and an observation group(n=30).The patients in the observation group used hydromorphone hydrochloride for epidural selfcontrolled analgesia,and the patients in the control group used sufentanil for epidural self-controlled analgesia.After treatment,the first exhaust time,defecation time,time of intravenous infusion,hospital stay,time to get out of bed for the first time,VAS score,distance to first move,and incidence of adverse reactions of the two groups were compared.Results The time of first exhaustion,defecation,intravenous infusion and hospitalization of the patients in the control group were longer than those in the observation group.The differences in data comparison between the groups were statistically significant(P<0.05).The time of first out-of-bed activity and VAS score were significantly higher than those of the observation group,and the first activity distance was shorter than that of the observation group.The differences in data comparison between the groups were statistically significant(P<0.05).The probability of adverse reactions in the control group was significantly higher than that of the observation group.the difference in data comparison between the two groups was statistically significant(P<0.05).Conclusion In patients undergoing laparoscopic radical rectal cancer surgery,taking hydromorphone hydrochloride epidural self-controlled analgesia can effectively promote the recovery of the patient's body,help the patient to perform early activities after surgery,and reduce the incidence of postoperative adverse reactions.It is worthwhile promote in the
作者
张明明
ZHANG Mingming(Department of Anesthesiology,Lingcheng District People's Hospital,Dezhou Shandong,253500,China)
出处
《反射疗法与康复医学》
2020年第14期72-74,共3页
Reflexology And Rehabilitation Medicine
关键词
盐酸氢吗啡酮
硬膜外自控镇痛
腹腔镜直肠癌根治术
康复
影响
Hydromorphone hydrochloride
Epidural self-controlled analgesia
Laparoscopic radical rectal cancer
Recovery
Influences
