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目的:探讨胃癌根治术后不同麻醉方式的选择及对疼痛的影响比较。方法:本次共选择80例胃癌根治术患者作研究对象,均为我院2012年6月~2013年6月收治,采用数字表抽取法随机分组,就全麻联合硬膜外阻滞(A组)与单纯全麻(B组)对疼痛影响加以比较。结果:与B组比较,A组疼痛程度评分在术后1小时、术后4小时、术后8小时、术后12小时、术后24小时均居较低水平,差异均有统计学意义(P<0.05)。术后12小时,A组吗啡总用量为32.2±1.0ml,明显低于B组43.5±1.3ml,有统计学差异(P<0.05)。A组重度疼痛率及不良反应率均低于对照组(P<0.05)。结论:胃癌根治术应用全麻复合硬膜外阻滞麻醉,可显著提高镇痛效果,防范不良事件发生,值得推广应用。
Objective: To investigate the choice of different anesthesia and the effect on pain after radical operation of gastric cancer. Methods: A total of 80 patients undergoing radical gastrectomy were selected as study subjects, all of whom were admitted to our hospital from June 2012 to June 2013. The patients were randomly divided into groups according to the digital table extraction method. The patients underwent general anesthesia combined with epidural block (A Group) and general anesthesia (group B) on the impact of pain were compared. Results: Compared with group B, the score of pain in group A was lower at 1 hour postoperatively, 4 hours postoperatively, 8 hours postoperatively, 12 hours postoperatively, and 24 hours postoperatively. The difference was statistically significant ( P <0.05). At 12 hours after operation, the total morphine consumption in group A was 32.2 ± 1.0 ml, which was significantly lower than that in group B (43.5 ± 1.3 ml, P <0.05). Severe pain rate and adverse reaction rate in group A were lower than those in control group (P <0.05). Conclusion: The application of general anesthesia and epidural anesthesia in radical resection of gastric cancer can significantly improve the analgesic effect and prevent the occurrence of adverse events, which deserved to be popularized and applied.