2019•International journal of nursingRequires access

Application of integrated analgesia of medical care in rapid recovery of patients with esophageal cancer

Xin Huang, Yaling Li, Xiangyu Luo, Pingping Xu, Jiao Yang

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Abstract

Objective To study the effect of integrated analgesia of medical care on postoperative rehabilitation process of patients with esophageal cancer, and to observe its effect on early postoperative sputum expectoration, early bed removal, complication occurrence and pain score. Methods A total of 92 perioperative esophageal cancer patients admitted to shiyan grade a hospital from June 2016 to December 2017 were selected and randomly divided into observation group and control group according to the order of admission, with 46 cases in each group. The preoperative general data of the patients were collected, and the indicators of rapid recovery 4 hours to 72 hours after surgery were investigated and recorded. Results Pain scores of the observation group at 4 hours, 8 hours, 24 hours and 48 hours after surgery were lower than those of the control group, with statistically significant differences(P 0.05). Compared with the control group, there were statistically significant differences in the time of early sputum cough, time of getting out of bed, number of days in hospital and incidence of complications in the observation group(P<0.05). Conclusions Applying integrated analgesia of medical care to patients with esophageal cancer can reduce the pain score of patients, promote patients to cough up phlegm at the early stage, get out of bed at the early stage, reduce the number of days in hospital and the incidence of complications, and accelerate the recovery of patients. Key words: Health care integration; Analgesia; Esophagus cancer; Perioperative period

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What this paper is about

Objective To study the effect of integrated analgesia of medical care on postoperative rehabilitation process of patients with esophageal cancer, and to observe its effect on early postoperative sputum expectoration, early bed removal, complication occurrence and pain score. Methods A total of 92 perioperative esophageal cancer patients admitted to shiyan grade a hospital from June 2016 to December 2017 were selected and randomly divided into observation group and control group according to the order of admission, with 46 cases in each group. The preoperative general data of the patients were collected, and the indicators of rapid recovery 4 hours to 72 hours after surgery were investigated and recorded. Results Pain scores of the observation group at 4 hours, 8 hours, 24 hours and 48 hours after surgery were lower than those of the control group, with statistically significant differences(P 0.05). Compared with the control group, there were statistically significant differences in the time of early sputum cough, time of getting out of bed, number of days in hospital and incidence of complications in the observation group(P<0.05). Conclusions Applying integrated analgesia of medical care to patients with esophageal cancer can reduce the pain score of patients, promote patients to cough up phlegm at the early stage, get out of bed at the early stage, reduce the number of days in hospital and the incidence of complications, and accelerate the recovery of patients. Key words: Health care integration; Analgesia; Esophagus cancer; Perioperative period

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Available abstract

Objective To study the effect of integrated analgesia of medical care on postoperative rehabilitation process of patients with esophageal cancer, and to observe its effect on early postoperative sputum expectoration, early bed removal, complication occurrence and pain score. Methods A total of 92 perioperative esophageal cancer patients admitted to shiyan grade a hospital from June 2016 to December 2017 were selected and randomly divided into observation group and control group according to the order of admission, with 46 cases in each group. The preoperative general data of the patients were collected, and the indicators of rapid recovery 4 hours to 72 hours after surgery were investigated and recorded. Results Pain scores of the observation group at 4 hours, 8 hours, 24 hours and 48 hours after surgery were lower than those of the control group, with statistically significant differences(P 0.05). Compared with the control group, there were statistically significant differences in the time of early sputum cough, time of getting out of bed, number of days in hospital and incidence of complications in the observation group(P<0.05). Conclusions Applying integrated analgesia of medical care to patients with esophageal cancer can reduce the pain score of patients, promote patients to cough up phlegm at the early stage, get out of bed at the early stage, reduce the number of days in hospital and the incidence of complications, and accelerate the recovery of patients. Key words: Health care integration; Analgesia; Esophagus cancer; Perioperative period

Key concepts: Medicine, Perioperative, Esophageal cancer, Incidence (geometry), Sputum, Medical record, Anesthesia, Surgery

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