基于快速康复外科理念的多模式镇痛对腹腔镜手术患者术后康复的影响

Effect of multi-mode analgesia based on fast track surgery concept on postoperative rehabilitation in patients with laparoscopic surgery

  • 摘要:
      目的  探讨基于快速康复外科理念的多模式镇痛对腹腔镜手术患者术后康复的影响。
      方法  选取腹腔镜手术患者112例,按照随机数字表法分成对照组和观察组,各56例,对照组接受常规镇痛,观察组接受基于快速康复外科理念的多模式镇痛,比较2组康复效果、视觉模拟评分法(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分及并发症情况。
      结果  观察组进食时间、排气时间、下床活动时间、排便时间显著早于对照组,住院时间显著短于对照组(P < 0.05); 术后12、24、72 h时,观察组VAS评分、PSQI评分及并发症总发生率均显著低于对照组(P < 0.05)。
      结论  基于快速康复外科理念的多模式镇痛可有效改善腹腔镜手术患者的康复效果,降低患者疼痛程度及并发症发生率,提高睡眠质量。

     

    Abstract:
      Objective  To investigate the effect of multi-mode analgesia based on fast track surgery (FTS) on postoperative rehabilitation in patients with laparoscopic surgery.
      Methods  A total of 112 patients with laparoscopic surgery in the hospital were selected, and were divided into control group and observation group by random number table, with 56 cases in each group. Control group was given routine analgesia, and observation group was given multi-mode analgesia based on FTS. The rehabilitation effect, visual analogue scale (VAS) scores, Pittsburgh sleep quality index (PSQI) scores, complications were compared between two groups.
      Results  The feeding time, exhaust time, off-bed activity time, defecation time, length of hospital stay in observation group were shorter than those in control group (P < 0.05); the VAS scores, PSQI scores and the total incidence of complications at 12, 24 and 72 h after surgery in observation group were lower than those in control group (P < 0.05).
      Conclusion  Multi-mode analgesia based on FTS for patients with laparoscopic surgery can effectively improve rehabilitation effect, decrease pain degree and the incidence of complications, and increase sleep quality.

     

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