肝胆术后不同镇痛方式对患者胃肠动力的影响

目的:探讨肝胆术后不同镇痛方式对患者胃肠动力的影响。方法:选择肝胆手术患者218例,按术后镇痛方式分为3组:A组(n=75)静脉自控镇痛(PCIA);B组(n=70)硬膜外镇痛(PCEA);C组(n=73)对照组。观察住院期间胃肠道功能(首次排气和排便时间、恶心呕吐发生率)以及镇痛情况。结果:C组患者的术后首次肛门排气均早于A组和B组(P0.01),排便时间早于A组(P0.05);A组患者的术后首次排气时间晚于B组(P0.01);C组患者术后静息、活动和咳嗽时的VAS评分均高于A、B组(P0.01)。结论:术后PCEA和PCIA均能提供完善镇痛,PCEA更有利于患者术后胃肠功能的恢复。

The effect of hepatobiliary postoperative different analgesia on gastrointestinal motility

Objective:To explore the effect of hepatobiliary postoperative different analgesia on gastrointestinal motility.Methods:Two hundred and eighteen patients with hepatobiliary operation were divided into 3 groups:75 cases treated with patient-controlled intravenous analgesia(PCIA) acted as group A,70 cases treated with patient-controlled epidural analgesia(PCEA) as group B and other 73 cases without treatment as group C(control group).Gastrointestinal function including onset time of postoperative exhaust and defecation and incidence of nausea and vomiting after operation) and effect of analgesia were measured.Results:The recovery of gastrointestinal function in group C was faster than that of group A and B(P<0.01);onset time of postoperative exhaust in group A was later than that of group B(P<0.01);VAS score in group C was lower than that of group A and B(P<0.01).Conclusions:The effect of analgesia of PCEA and PCIA are similar,and PCEA is more conducive the recovery of gastrointestinal function.