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Validation of the Functional Assessment of Cancer Therapy with Cervical Cancer Subscale (FACT-CX) for Quality of Life in Thai Patients Prior to Chemoradiotherapy.在泰语患者接受放化疗之前,验证宫颈癌子量表(FACT-CX)在癌症治疗功能评估中的有效性,以评估生活质量。
Asian Pac J Cancer Prev. 2020 Jul 1;21(7):1891-1897. doi: 10.31557/APJCP.2020.21.7.1891.
2
Gynecologic oncology at the time of COVID-19 outbreak.COVID-19 疫情期间的妇科肿瘤学。
J Gynecol Oncol. 2020 Jul;31(4):e72. doi: 10.3802/jgo.2020.31.e72. Epub 2020 May 27.
3
Same-Day Discharge Among Patients With Obesity Undergoing Laparoscopic Gynaecologic Oncology Surgery.肥胖患者行腹腔镜妇科肿瘤手术后的当日出院。
J Obstet Gynaecol Can. 2020 Aug;42(8):957-962. doi: 10.1016/j.jogc.2020.01.022. Epub 2020 May 7.
4
ERAS protocols in gynecologic oncology during COVID-19 pandemic.COVID-19大流行期间妇科肿瘤学中的加速康复外科(ERAS)方案
Int J Gynecol Cancer. 2020 Jun;30(6):728-729. doi: 10.1136/ijgc-2020-001439. Epub 2020 Apr 30.
5
Posteromedial quadratus lumborum block versus transversus abdominal plane block for postoperative analgesia following laparoscopic colorectal surgery: A randomized controlled trial.腹腔镜结直肠手术后,腰方肌后内侧阻滞与腹横肌平面阻滞用于术后镇痛的随机对照试验
J Clin Anesth. 2020 Jun;62:109716. doi: 10.1016/j.jclinane.2020.109716. Epub 2020 Jan 27.
6
Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis.2018 年宫颈癌发病率和死亡率的估计:全球分析。
Lancet Glob Health. 2020 Feb;8(2):e191-e203. doi: 10.1016/S2214-109X(19)30482-6. Epub 2019 Dec 4.
7
[Bilateral lower thoracic erector spinae plane block in open abdominal gynecologic oncology surgery: a cases series].[双侧下胸段竖脊肌平面阻滞在开放性腹部妇科肿瘤手术中的应用:病例系列]
Braz J Anesthesiol. 2019 Sep-Oct;69(5):517-520. doi: 10.1016/j.bjan.2019.03.011. Epub 2019 Oct 19.
8
Multimodal analgesia for craniotomy.开颅术的多模式镇痛。
Curr Opin Anaesthesiol. 2019 Oct;32(5):592-599. doi: 10.1097/ACO.0000000000000766.
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Development of evidence-based recommendations for procedure-specific pain management: PROSPECT methodology.制定基于证据的特定手术疼痛管理推荐:PROSPECT 方法。
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Opioid-Free Total Intravenous Anesthesia Improves Postoperative Quality of Recovery after Ambulatory Gynecologic Laparoscopy.无阿片类药物全静脉麻醉改善门诊妇科腹腔镜检查术后的恢复质量。
Anesth Essays Res. 2019 Apr-Jun;13(2):199-203. doi: 10.4103/aer.AER_74_19.

多模式镇痛对妇科癌症患者根治性切除术后的影响。

Effect of multimodal analgesia on gynecological cancer patients after radical resection.

作者信息

Dong Wenyue, An Bin, Wang Yi, Cui Xiaoyan, Gan Jianhui

机构信息

Department of Anesthesiology, Tangshan People's Hospital, North China University of Science and Technology Tangshan 063000, Hebei Province, China.

Department of Anesthesiology, Tangshan Maternity and Child Healthcare Hospital Tangshan 063000, Hebei Province, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):2686-2693. eCollection 2021.

PMID:34017429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8129368/
Abstract

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.

摘要

目的

本研究旨在探讨多模式镇痛对妇科癌症患者根治性切除术后的影响。

方法

纳入我院98例行腹腔镜根治性切除术的宫颈癌患者。其中,研究组(RG)47例给予多模式镇痛,对照组(CG)51例给予传统术后镇痛。观察两组的手术时间、麻醉恢复室观察及拔管情况、术后NRS疼痛评分及临床表现。比较两组术后三天内的活动情况、术后并发症发生率、住院时间及生活质量。

结果

研究组手术时间高于对照组(P<0.05),麻醉恢复室观察及拔管时间低于对照组(P<0.05);NRS疼痛评分低于对照组(P<0.05);首次下床时间、排气及进食时间短于对照组(P<0.05);术后三天内活动情况优于对照组(P<0.05);并发症发生率明显低于对照组(P<0.05);住院时间短于对照组(P<0.05);术后生活质量优于对照组(P<0.05)。

结论

多模式镇痛对妇科恶性肿瘤腹腔镜根治性切除术后患者安全有效,可加速疾病恢复,提高生活质量,值得临床应用。