快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果的探讨

目的:分析快速康复理念下多模式镇痛对食管癌患者术后疼痛控制效果。方法:选取2020年4月至2021年3月在高州市人民医院行胸腹腔镜联合下食管癌根治术患者100例，采用抽签法分为对照组和观察组，每组50例。对照组男27例，女23例，年龄36～82（49.68±11.26）岁。观察组男26例，女24例，年龄35～81（48...

Effect of multi-mode analgesia based on rapid recovery concept on postoperative pain control in patients with esophageal cancer

Objective　To analyze the effectof multi-mode analgesia based on rapid recovery concept on postoperative paincontrol in patients with esophageal cancer. Methods　A total of 100 patients undergoing thoraciclaparoscopy and esophageal cancer radical resection in Gaozhou People'sHospital from April 2020 to March 2021 were selected and divided into a controlgroup and an observation group by the lottery method, with 50 cases in eachgroup. There were 27 males and 23 females in the control group, and they were36-82 (49.68±11.26) years old. There were 26 males and 24 females in theobservation group, and they were 35-81 (48.26±11.67) years old. The controlgroup were treated with conventional analgesia, and the observation group withmulti-mode analgesia based on rapid recovery concept. The pain, incidences ofcomplications, negative moods, postoperative hospitalization days, exhaust, andother indicators and analgesic satisfaction were compared between the twogroups. The measurement data were compared between these two groups byindependent-sample t test, and theenumeration data by χ² test. Results　The first defecation time, the first exhaust time, the first timeout of bed, and the length of hospitalization in the observation group werelower than those in the control group (all P < 0.05). The scores of Visual Analogue Scale (VAS) 1, 2, 3, and 7 days afterthe operation in the observation group were lower than those in the controlgroup (all P < 0.05). The scoresof Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) inthe observation group were lower than those in the control group [(38.69±4.23)vs. (56.89±4.32) and (41.65±4.12) vs. (52.65±4.56); both P < 0.05]. The incidence of postoperative complications in theobservation group was lower than that in the control group [4.0% (2/50) vs.16.0% (8/50), P < 0.05]. Theanalgesic satisfaction of the observation group was higher than that of thecontrol group [96.0% (48/50) vs. 84.0% (42/50)], with a statistical difference(χ²=4.215, P=0.040). Conclusion　Multi-mode analgesiabased on rapid recovery concept for patients with esophageal cancer caneffectively relieve their negative moods, improve their postoperative pain andthe recovery effect, and shorten their hospital stay.