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Effect of multimodal analgesia on gynecological cancer patients after radical resection.
American journal of translational research Pub Date : 2021-04-15
Wenyue Dong 1 , Bin An 2 , Yi Wang 1 , Xiaoyan Cui 1 , Jianhui Gan 1
Affiliation  

OBJECTIVE This research was designed to probe into the effect of multimodal analgesia on gynecological cancer patients after radical resection. METHODS Ninety-eight cervical cancer patients undergoing laparoscopic radical resection in our hospital were included. Thereinto, 47 in the research group (RG) were given multimodal analgesia, and 51 in the control group (CG) were given conventional postoperative analgesia. The time of operation, anesthesia recovery room observation and extubation, postoperative NRS pain score, and the clinical manifestations of both groups were observed. The activity within three days after operation, the incidence of postoperative complications, hospitalization time and quality of life of both groups were compared. RESULTS The operation time of the RG was higher than that of the CG (P < 0.05), and the time of observation and extubation in the anesthesia room were lower than those in the CG (P < 0.05); the NRS pain score was lower than that of the CG (P < 0.05); the first time to get out of bed, and time of exhaust and diet were shorter than those of the CG (P < 0.05); the activity was better than that of the CG within three days after operation (P < 0.05); the incidence of complications was markedly lower than that in the CG (P < 0.05); the hospitalization time was shorter than that of the CG (P < 0.05); the postoperative quality of life was shorter than that in the CG (P < 0.05). CONCLUSION Multimodal analgesia is safe and effective for patients after laparoscopic radical resection of gynecological malignancies, which can speed up the recovery of diseases and improve the quality of life. Thus, it is worthy of clinical application.

中文翻译:

多模式镇痛对妇科肿瘤根治术后患者的影响

目的探讨多模式镇痛对妇科肿瘤根治术后患者的影响。方法 纳入我院腹腔镜根治术宫颈癌患者98例。其中,研究组(RG)47例采用多模式镇痛,对照组(CG)51例采用术后常规镇痛。观察两组手术时间、麻醉恢复室观察及拔管情况、术后NRS疼痛评分及临床表现。比较两组患者术后3天内活动情况、术后并发症发生率、住院时间及生活质量。结果 RG的手术时间高于CG(P < 0.05),麻醉室观察和拔管时间均低于CG组(P < 0.05);NRS疼痛评分低于CG(P < 0.05);首次起床时间、排气和饮食时间均短于CG组(P < 0.05);术后3 d内活动优于CG(P < 0.05);并发症发生率明显低于CG组(P < 0.05);住院时间短于CG组(P < 0.05);术后生活质量较CG组短(P < 0.05)。结论 腹腔镜妇科恶性肿瘤根治术后多模式镇痛安全有效,可加速疾病康复,提高生活质量。因此,
更新日期:2021-04-15
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