Zhang Miao, Wang Heng, Pan Xuefeng, Wu Wenbin, Zhang Qi, Liu Yun, Zhang Hui
Department of Thoracic Surgery, Xuzhou Central Hospital Affiliated to Southeast University, Jiangsu, Xuzou 221009, People's Republic of China.
J BUON. 2016 Nov-Dec;21(6):1546-1551.
The purpose of this study was to evaluate the efficacy of whole-course pain intervention on health-related quality of life (QoL) for patients after esophagectomy.
A retrospecitve analysis was performed on 81 patients who were enrolled as conventional care group (control group with 40 cases) and whole-course pain intervention group (observation group with 41 cases) respectively af?ter Sweet, Ivor-Lewis and McKeown esophagectomy between January 2011 and December 2013. Then, the postoperative recovery parameters of the patients were compared, accompanied with evaluation of QoL using the 36-Item Short Form Health Survey 6 months after the operation.
The patients in the observation group demonstrated significantly better pain control and overall satisfaction rate than those of the control group, along with significantly lower morbidity of chronic postsurgical pain (CPSP) (p<0.05). However, the health-related QoL 6 months after the operation indicated no significant difference between the two groups (p>0.05).
In summary, the whole-course pain intervention is conducive to relieve pain and to reduce the occurrence of CPSP in patients after esophagectomy.
本研究旨在评估全程疼痛干预对食管癌切除术后患者健康相关生活质量（QoL）的疗效。
对2011年1月至2013年12月期间分别接受Sweet、Ivor-Lewis和McKeown食管癌切除术的81例患者进行回顾性分析，将其分为常规护理组（对照组，40例）和全程疼痛干预组（观察组，41例）。然后，比较患者的术后恢复参数，并在术后6个月使用36项简短健康调查评估生活质量。
观察组患者的疼痛控制和总体满意率明显优于对照组，慢性术后疼痛（CPSP）的发病率也明显更低（p<0.05）。然而，术后6个月的健康相关生活质量在两组之间无显著差异（p>0.05）。
总之，全程疼痛干预有助于缓解食管癌切除术后患者的疼痛并减少CPSP的发生。
