| 吴丹,郑晶晶,马骥,徐宏涛.加速康复外科理念下胃癌根治术后应用耳穴贴压联合氟比洛芬酯镇痛的疗效研究[J].浙江中西医结合杂志,2020,30(6): |
| 加速康复外科理念下胃癌根治术后应用耳穴贴压联合氟比洛芬酯镇痛的疗效研究 |
| The Curative Effect of Enhanced Recovery after Surgery use of Auricular Acupressure Combined with Fubiprofen Analgesic in Postoperative Gastric Cancer WU Dan, ZHENG Jing jing, MA Ji,XU Hong tao. Department of Gastrointestinal Surgery, Lishui Centre Hospital, Lishui (323000), China |
| 投稿时间：2019-08-27 修订日期：2020-02-01 |
| DOI： |
| 中文关键词: 耳穴贴压 氟比洛芬酯 加速康复外科 术后镇痛 胃癌 |
| 英文关键词:Auricular Acupressure flubiprofen ERAS postoperative analgesia gastric cancer |
| 基金项目:浙江省中医药科研计划项目(No.2017ZB099)作者单位：丽水市中心医院(323000) 通信作者：徐宏涛,Tel:15024622762; E-mail:xht0071 @sina.com |
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| 中文摘要: |
| 目的:探讨加速康复外科( enhanced recovery after surgery, ERAS)理念下胃癌根治术后应用耳穴贴压联合氟比洛芬酯镇痛的疗效研究。方法：选择2017年3月至2017年10月在我院行腹腔镜辅助胃癌根治术的80例患者,男52例,女28例；年龄31～80岁,BMI 18.31～28.05kg/m2。ASA分级I～II级。采用随机数字表法随机分为耳穴贴压联合氟比洛芬酯组(耳穴组)和硬膜外联合氟比洛芬酯组(常规组)。每组40例。记录两组患者术后12h(T1)、24h(T2)、48h(T3)、72h(T4)静息和运动时视觉模拟评分(VAS),记录术后第一次排气时间、术后活动时间,术后首次进食时间,术后住院时间、术后不良反应及并发症等。结果：耳穴组在静息和运动时患者术后12h、24h、48h、72h评分分别为(2.6±0.6)分、(3.2±0.7)分、(2.6±0.7)分、(1.9±0.5)分和(3.5±0.8)分、(3.7±0.9)分、(3.4±0.9)分、(3.0±0.4)分,常规组在静息和运动时患者术后12h、24h、48h、72h评分分别为(2.3±0.7)分、(2.9±0.8)分、(2.4±0.7)分、(1.9±0.6)分和(3.3±0.8)分、(3.5±0.8)分、(3.2±0.9)分、(3.1±0.4)分,两组比较差异无统计学意义(P＞0.05)。耳穴组术后首次排气时间短于常规组,术后镇痛引起低血压发生率低于常规组,两组比较有统计学意义(P<0.05)。两组术后并发症发生率差异均无统计学意义(P＞0.05)。。 结论：耳穴贴压联合氟比洛芬酯有较好的术后镇痛效果,缩短术后首次排气时间,较少引起药物不良反应。 |
| 英文摘要: |
| Objective To investigate the recovery effect of perioperative use of the auricular acupressure combined with flubiprofen axe analgesia in enhanced recovery after surgery strategy for patient undergoing curative gastrectomy for cancer. Methods Eighty patients undergoing open or laparoscopic radical gastrectomy were selected from March 2017 to October 2017 in the central Hospital of Li Shui,including 52 males and 28 females,aged 31～80 years,BMI18.31～28.05kg/m2,ASA physical status I～II。The patients were randomly allocated to auricular acupressure combined with flubiprofen axe analgesia in group(auricular group ,n=40) or epidural combined with flubiprofen axe in group(general group, n=40) 。 Rest and activity visual analogue scale(VAS) score at 12h(T1)、24h(T2)、48h(T3)、72h(T4)after surgery were recorded between the two groups. Postoperative first flatus time, first feeding fluid time, activity time, hospital stay and postoperative adverse effect,complications were recorded. Results The rest and activity scores of the VAS at postoperative hour 12,24,48,72 were 2.6±0.6,3.2±0.7,2.6±0.7,1.9±0.and3.5±0.8,3.7±0.9,3.4±0.9,3.0±0.4 in the auricular group, and 2.3±0.7,2.9±0.8,2.4±0.7,1.9±0.6 and 3.3±0.8,3.5±0.8,3.2±0.9,3.1±0.4 in the general group, with a not significant difference between the 2 groups(P＞0.05). Time of first flatus was shorter and hypotension was lower in the auricular group than in the general group after surgery, with a significant difference between the two groups(P＜0.05). the postoperative complication rate was comparable between the two groups(P＜0.05). Conclusion The better effect of use the auricular acupressure combined with flubiprofen axe, time of first flatus was shorter and less adverse drug reactions |
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