全身麻醉复合硬膜外麻醉对胃癌术后镇痛的影响

目的:观察全身麻醉复合硬膜外麻醉对胃癌手术病人术后镇痛的影响。方法:90例择期行胃癌根治术患者,ASA I-II级,年龄33-60岁,随机均分为2组:G+E(全麻+硬膜外)组和G(单纯全麻)组。均采用超前镇痛和PCIA。观察术后48h内(2,4,8,24,48h)的镇痛评分(VAS),PCA使用次数,不良反应。结果:术后2,4,8h G+E(全麻+硬膜外)组的VAS评分明显低于G(单纯全麻)组(P<0.05)。术后24h内PCA按压次数G+E(全麻+硬膜外)组明显低于G(单纯全麻)组(P<0.05)。G+E(全麻+硬膜外)组的不良反应发生率明显低于G(单纯全麻)组(P<0.05)。结论:胃癌手术时应用全身麻醉复合硬膜外麻醉可以明显加强术后镇痛效果,降低不良反应。

Effects of different anaesthesia methods on postoperative analgesia of radical gastrectomy

Objective:To observe the effects of different anaesthesia methods on postoperative analgesia of radical gastrectomy.Methods:Ninety patients(ASAⅠor Ⅱ) with gastric carcinoma were randomly divided into two groups(G+E,G).All patients were given preemptive analgesia and PCIA.Visual analogue scale(VAS) was used to assess the pain intensity at 2,4,8,24 and 48h after surgery.Results:VAS of G+E group at 2,4,8 hours after surgery were significantly less than G group(P<0.05).The effective press frequency of G+E group in 24 hours after surgery was significantly less than G group(P<0.05).Adverse reaction of G+E group was significantly less than G group(P<0.05).Conclusion:General anaesthesia plus epidural anesthesia used in gastric carcinoma can significantly enhance the effect of postoperative analgesia and decrease adverse reaction.