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全麻联合硬膜外阻滞麻醉对胃癌根治术患者疼痛的影响 被引量:11

Effects of pain state of patients with radical gastrectomy under general anesthesia complicate with epidural anesthesia
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摘要 目的研究全麻联合硬膜外阻滞麻醉对胃癌根治术患者疼痛的影响。方法将100例欲行胃癌根治术的患者随机分为两组,全麻组和全麻联合硬膜外阻滞组(联合组),每组50例。患者术后被送至麻醉后恢复室(PACU),记录患者此时的VAS评分。在PACU期间,患者需静脉滴注吗啡,一直到VAS评分≤1分时停止,到结束时记录吗啡的用量。结果与全麻组相比,联合组患者术后VAS评分及吗啡总用量均显著降低(P<0.05)。结论在胃癌根治术中应用全麻联合硬膜外阻滞麻醉可以减轻患者的疼痛。 Objective To assess the the influence of pain degree of radical gastrectomy patients received general anesthesia complicate with epidural anesthesia. Methods One hundred radical gastrectomy patients were randomly divided into two groups, general anesthesia group and general combined epidural anesthesia group (combined group), each group of 50 cases. The patient was sent to recovery room (PACU) after anesthesia, the VAS score was recorded. In the PACU period, patients need to drip morphine, until VAS scores≤1 to stop, the dosage of morphine was recorded at the end. Results VAS score and morphine consumption in combined group were all less than those of general anesthesia group (P 0.05). Conclusion In gastric cancer radical mastectomy combined application of general anesthesia epidural block anesthesia can reduce the pain of patients.
作者 赵秋吾
出处 《中国当代医药》 2013年第2期92-93,共2页 China Modern Medicine
关键词 麻醉 胃癌 硬膜外阻滞 疼痛 Anesthesia Stomach cancer Epidural anesthesia Pain
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