The study is aimed to explore the effects of multimodal analgesia consisting of ropivacaine's wound infiltration, parecoxib's intravenous injection and oxycodone-acetaminophen tablets' oral administration on postoperative pain and rehabilitation after laparoscopic radical gastrectomy for patients with gastric cancer.
Postoperative pain attracts the attention of surgeons, and optimal postoperative pain management contributes to reducing complications and accelerating postoperative rehabilitation. Traditionally, the opioids were used for postoperative pain control. However, the opioids may increase the time to recover bowel function and lead to postoperative ileus. Multimodal analgesia is recommended in recent years, but studies on multimodal analgesia after gastrectomy are scarce. In this study, we introduced a multimodal analgesia strategy consisting of incision infiltration with ropivacaine, intravenous injection of parecoxib, and oral administration of an oxycodone/paracetamol mixture and evaluated the effects of this strategy compared with PCIA analgesia which is used widely for pain after gastrectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
156
Multimodal analgesia is the name of a procedure or program. Multimodal analgesia doesn't mean different interventions are used. Patients in this group need receive this analgesia program (procedure) instead of one analgesic drug or technology. The program consists of incision infiltration with ropivacaine, intravenous injection of parecoxib, and oral administration of oxycodone/paracetamol mixture.
PCIA analgesia:patient-controlled intravenous analgesia with tramadol.
Jinling Hospital, Medical School of Nanjing University
Nanjing, Jiangsu, China
RECRUITINGThe Second Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
NOT_YET_RECRUITINGNumeric rating scales (NRS) score with 24 hours after the surgery
pain evaluation
Time frame: 1 day
NRS score after 24 hours postoperatively
pain evaluation
Time frame: 1 week
Number of remedial treatment
pain evaluation
Time frame: 1 week
Time to first flatus
Bowel function recovery
Time frame: 1 week
Time to first off-bed activity
Postoperative activity
Time frame: 1 week
Time of off-bed activity per day
Postoperative activity
Time frame: 1 week
Length of off-bed activity per day
Postoperative activity
Time frame: 1 week
Time to first semi-liquid diet
Bowel function recovery
Time frame: 1 week
Postoperative length of stay
postoperative length of stay
Time frame: 1 month
C-reactive protein (CRP)
Inflammatory indicators
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Time frame: 1 week
interleukin-6 (IL-6)
Inflammatory indicators
Time frame: 1 week
Albumin
Nutritional status
Time frame: 1 year
Total protein
Nutritional status
Time frame: 1 year
Prealbumin
Nutritional status
Time frame: 1 year