快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果的探讨

doi:10.3760/cma.j.issn.1007-1245.2022.03.011

国际医药卫生导报 ›› 2022, Vol. 28 ›› Issue (3): 341-344.DOI: 10.3760/cma.j.issn.1007-1245.2022.03.011

快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果的探讨

刘静苏冰莲龚兰娟林万里范婷

刘静，Email：liujing9639@163.com

收稿日期:2021-09-27 出版日期:2022-02-01 发布日期:2022-03-01
通讯作者: 刘静，Email：liujing9639@163.com
基金资助:
广东省青年基金（20201122175636468）

Effect of multi-mode analgesia based on rapid recovery concept on postoperative pain control in patients with esophageal cancer

Liu Jing, Su Binglian, Gong Lanjuan, Lin Wanli, Fan Ting

Liu Jing, Email: liujing9639@163.com

Received:2021-09-27 Online:2022-02-01 Published:2022-03-01
Contact: Liu Jing, Email: liujing9639@163.com
Supported by:
Guang dong Youth Fund (20201122175636468)

摘要/Abstract

摘要： 目的　分析快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果。方法　选取2020年4月至2021年3月在高州市人民医院行胸腹腔镜联合下食管癌根治术患者100例，采用抽签法分为对照组和观察组，每组50例。对照组男27例，女23例，年龄36～82（49.68±11.26）岁。观察组男26例，女24例，年龄35～81（48.26±11.67）岁。对照组采用常规镇痛方式，观察组采用快速康复理念下多模式镇痛。对比两组患者疼痛情况、并发症发生率、负性情绪，术后住院天数、排气等指标以及镇痛满意度。计量资料组间比较采用独立样本t检验，计数资料组间比较采用χ²检验。结果　观察组首次排便时间、首次排气时间、首次下床时间以及住院天数均低于对照组（均P<0.001）。观察组术后1、2、3、7 d视觉模拟评分法（VAS）评分均低于对照组（均P<0.001）。术后观察组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均低于对照组［（38.69±4.23）分比（56.89±4.32）分、（41.65±4.12）分比（52.65±4.56）分］，差异均有统计学意义（均P<0.001）。观察组术后并发症发生率低于对照组［4.0%（2/50）比16.0%（8/50）］，观察组镇痛满意度高于对照组［96.0%（48/50）比84.0%（42/50）］，两组比较差异有统计学意义（χ²=4.215，P=0.040）。结论　食管癌患者术后采用快速理念下多模式镇痛，可有效缓解患者负性情绪、改善术后疼痛，提高恢复效果，缩短患者住院时间。

关键词: 快速康复, 多模式镇痛, 食管癌, 并发症, 情绪

Abstract:

Objective　To analyze the effect of multi-mode analgesia based on rapid recovery concept on postoperative pain control in patients with esophageal cancer. Methods　A total of 100 patients undergoing thoracic laparoscopy and esophageal cancer radical resection in Gaozhou People's Hospital from April 2020 to March 2021 were selected and divided into a control group and an observation group by the lottery method, with 50 cases in each group. There were 27 males and 23 females in the control group, and they were 36-82 (49.68±11.26) years old. There were 26 males and 24 females in the observation group, and they were 35-81 (48.26±11.67) years old. The control group were treated with conventional analgesia, and the observation group with multi-mode analgesia based on rapid recovery concept. The pain, incidences of complications, negative moods, postoperative hospitalization days, exhaust, and other indicators and analgesic satisfaction were compared between the two groups. The measurement data were compared between these two groups by independent-sample t test, and the enumeration data by χ² test. Results　The first defecation time, the first exhaust time, the first time out of bed, and the length of hospitalization in the observation group were lower than those in the control group (all P < 0.05). The scores of Visual Analogue Scale (VAS) 1, 2, 3, and 7 days after the operation in the observation group were lower than those in the control group (all P < 0.05). The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group were lower than those in the control group [(38.69±4.23) vs. (56.89±4.32) and (41.65±4.12) vs. (52.65±4.56); both P < 0.05]. The incidence of postoperative complications in the observation group was lower than that in the control group [4.0% (2/50) vs. 16.0% (8/50), P < 0.05]. The analgesic satisfaction of the observation group was higher than that of the control group [96.0% (48/50) vs. 84.0% (42/50)], with a statistical difference (χ²=4.215, P=0.040). Conclusion　Multi-mode analgesia based on rapid recovery concept for patients with esophageal cancer can effectively relieve their negative moods, improve their postoperative pain and the recovery effect, and shorten their hospital stay.

Key words: Rapid recovery, Multi-mode analgesia, Esophageal cancer, Complications, Moods

刘静, 苏冰莲, 龚兰娟, 林万里, 范婷. 快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果的探讨[J]. 国际医药卫生导报, 2022, 28(3): 341-344.

Liu Jing, Su Binglian, Gong Lanjuan, Lin Wanli, Fan Ting. Effect of multi-mode analgesia based on rapid recovery concept on postoperative pain control in patients with esophageal cancer[J]. International Medicine and Health Guidance News, 2022, 28(3): 341-344.

参考文献

[1] 但慧芳,周夕坪,任秀华,等. 疼痛管理干预对食管癌规范化治疗患者术后疼痛与情绪及护理满意度影响[J]. 新疆医科大学学报,2018,41(12):1571-1574. DOI:10.3969/j.issn. 1009-5551.2018.12.027.

[2] 胡若男,胡超华. 快速康复理念下多模式镇痛在腹腔镜胆囊切除术中的应用研究[J]. 实用肝脏病杂志,2018,21(5):777-780. DOI:10.3969/j.issn.1672-5069.2018.05.031.

[3] 饶锟. 规范化疼痛护理在食管癌患者中的应用及对疼痛状态和心理应激的影响[J]. 检验医学与临床,2020,17(2):229-231. DOI:10.3969/j.issn.1672-9455.2020.02.026.

[4] 沈莉莉,李传忠. 基于快速康复外科理念的多模式镇痛对腹腔镜手术患者术后康复的影响[J]. 实用临床医药杂志,2019,23(13):36-38. DOI:10.7619/jcmp.201913010.

[5] 杨一兰. 基于快速康复外科的多模式镇痛管理对腹腔镜结直肠癌病人术后疼痛的影响[J]. 护理研究,2019,33(17):3038-3041. DOI:10.12102/j.issn.1009-6493.2019.17.029.

[6] 郭二亮,张金峰,杨英男,等. 食管癌肿瘤标志物的研究进展[J]. 现代肿瘤医学,2018,26(11):1783-1786. DOI:10.3969/j.issn.1672-4992.2018.11.034.

[7] 闫雪梅,韩艳,马丽娟,等. 胸腹腔镜联合食管癌根治术后患者症状困扰与生活质量的相关性研究[J]. 中国医药导报,2018,15(5):151-155.

[8] 刘婷婷,曾诗颖,奚凯雯,等. 食管癌术后不同镇痛方式的效果和安全性的Meta分析[J]. 解放军护理杂志,2018,35(22):7-12. DOI:10.3969/j.issn.1008-9993.2018.22.002.

[9] 周嘉晖,王刚,刘江, 等.加速康复外科指导下的多模式镇痛对开腹结肠癌患者术后恢复的影响[J].山东大学学报(医学版),2019,57(9):38-42.

[10] 秦琳,王青. 快速康复外科多模式镇痛管理对促进胃肠肿瘤患者术后活动的影响[J]. 当代护士(上旬刊),2018,25(3):61-63. DOI:10.3969/j.issn.1006-6411.2018.03.028.

[11] 李大维,柏斗胜,蒋国庆,等. 基于加速康复外科理念肝癌肝切除术后多模式镇痛的研究[J]. 中华普通外科杂志,2018,33(8):704-706. DOI:10.3760/cma.j.issn.1007- 631X. 2018. 08.029.

快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果的探讨

Effect of multi-mode analgesia based on rapid recovery concept on postoperative pain control in patients with esophageal cancer

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 9

编辑推荐

Metrics

[1]	张磊, 孙丹丽, 周雅娟, 彭星, 杨一君. 加速康复外科理念指导腹腔镜全子宫切除术对绝经后妇女术后镇痛及胃肠功能恢复的影响[J]. 国际医药卫生导报, 2022, 28(4): 488-491.
[2]	吴珊珊, 马文君. 西妥昔单抗联合三维适形放疗在中晚期食管癌患者中的疗效[J]. 国际医药卫生导报, 2022, 28(4): 548-551.
[3]	洪耿德, 方楠, 邓颖, 高玲, 陈冬平, 黄瑜芳. 免疫营养在食管癌围术期应用的研究现状[J]. 国际医药卫生导报, 2022, 28(3): 439-444.
[4]	代玉, 郭佳, 殷崇望, 毛霞, 刘阳春. 糖尿病患者并发症恐惧评估工具的研究进展[J]. 国际医药卫生导报, 2022, 28(2): 280-283.
[5]	亢婵婵, 李秋菊. 心脏瓣膜置换患者术后发生肺部并发症的相关危险因素及其干预措施分析[J]. 国际医药卫生导报, 2022, 28(1): 45-48.
[6]	贺晓波, 贺婧, 雷先阳. 新型冠状病毒肺炎与心理健康：从生理机制到社会影响[J]. 国际医药卫生导报, 2022, 28(1): 137-140.
[7]	刘琳琳, 简超君, 王艳娉, 牛强, 许学兵. 坐骨神经阻滞在踇外翻截骨矫形术后多模式镇痛中的效果评价[J]. 国际医药卫生导报, 2021, 27(6): 810-812.
[8]	陈晓利, 叶贞志, 陈均龙. 足月小样儿与足月小于胎龄儿围产高危因素分析与差异对比[J]. 国际医药卫生导报, 2021, 27(6): 833-836.
[9]	郭文玲, 马建林, 陈雪梅, 杨宝霞, 王赛. 宫腔镜在剖宫产术后子宫瘢痕妊娠中对并发症及β-HCG恢复时间的影响[J]. 国际医药卫生导报, 2021, 27(6): 885-886.