Peroral endoscopic myotomy (POEM) is a minimally invasive treatment for esophageal achalasia with a natural orifice transluminal endoscopic procedure and far less invasive than the standard surgical or laparoscopic Heller myotomy (LHM). Less is known about the postoperative pain after POEM and the minor surgery trauma, short length of stay may lead to underestimation of postoperative pain control. We tend to observe the pain status after the POEM surgery under the empirical treatment in our center, and find a proper intra-operative way of pain control to solve the post-operative pain and seek the possible influence factors of postoperative pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
196
the patients use remifentanil and fentanyl as intra-operatively pain control and compare the post-operative pain condition with the oxycodone group
the patients use oxycodone and remifentanil as intra-operatively pain control and compare the post-operative pain condition with the fentanyl group
post-operative pain condition
use Visual Analogue Scale/Score(0-10) to record post operative pain
Time frame: 36 hours after the POEM surgery
post-operative PCA usage volumn
record PCA usage volumn(ml) to see the dosage of opiods used after the surgery
Time frame: 36 hours after the POEM surgery
post-operative sleep quality
Postoperative sleep quality was investigated with a self-reported sleep questionnaire including 6 yes/no questions(0-6) with full score 6 represented the worst sleep
Time frame: 48 hoursafter the surgery
chronic pain condition
use Visual Analogue Scale/Score(0-10) to evaluate the pain condition
Time frame: 28 days after discharge
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