腹横肌平面阻滞镇痛对腹腔镜结肠癌根治术患者早期恢复质量的影响

目的 观察腹横肌平面阻滞镇痛对腹腔镜结肠癌根治术患者早期恢复质量的影响。方法 收集河南省平顶山市第二人民医院2015年2月至2016年2月收治的腹部手术患者90例，随机分为对照组和试验组，每组45例。对照组行静脉吗啡镇痛，试验组行腹横肌平面阻滞联合静脉吗啡镇痛，比较两组患者不同时间点的视觉模拟评分（VAS）、早期恢复质量指标、镇痛满意度及不良反应情况。结果 试验组术后6 小时、12小时、24小时的VAS评分均低于对照组，差异有统计学意义（P<0.05）。试验组进饮时间、排气时间、住院时间均短于对照组，差异有统计学意义（P<0.05）。试验组24 h吗啡总用量低于对照组，差异有统计学意义（P<0.05）。试验组总满意度（95.56%）高于对照组（82.22%），差异有统计学意义（P<0.05）；两组不良反应的差异无统计学意义（P>0.05）。结论 腹横肌平面阻滞联合静脉吗啡镇痛对腹部手术的镇痛效果满意，能够显著提高患者的早期恢复质量。

Effect of abdominal dysplasia on quality of early recovery of laparoscopic radical gastrectomy

Objective To observe the effect of abdominal diastolic analgesia on the early recovery of laparoscopic radical gastrectomy. Methods Ninety cases of abdominal surgery were collected in Pingdingshan Second People''s Hospital of Henan Provincefrom Feb.2015 to Feb.2016. The patients were randomly divided into control group and experimental group, with 45 cases in each. The visual analogue scale (VAS), early recovery quality index, analgesic satisfaction and adverse reactions were observed at different time points in the two groups. The patients in the control group were treated with intravenous morphine analgesia. Results The VAS scores of the experimental group were lower than those of the control group at 6 hours, 12 hours and 24 hours, and the difference was statistically significant (P<0.05). The time of drinking, the time of exhaust and the time of hospitalization were shorter than those of the control group, and the difference was statistically significant (P<0.05). The total amount of morphine in the test group was lower than that in the control group at 24 h, and the difference was statistically significant (P<0.05). The overall satisfaction (95.56%) was significantly higher than that of the control group (82.22%), and the difference was statistically significant (P<0.05). The difference in adverse reactions was not statistically significant (P>0.05). Conclusion The treatment of abdominal transverse obstruction combined with intravenous morphine analgesia is satisfactory in the analgesic effect of abdominal surgery, which can markedly improve the quality of early recovery.