摘要
目的通过观察不同麻醉和镇痛方式对食管癌手术患者的影响情况,了解并分析其临床效果。方法选取我院接收的50例食管癌手术患者来进行研究分析,随机将患者分组为A、B两组,采用不同的麻醉和镇痛方式。A组25例患者使用全凭静脉麻醉和患者自控静脉镇静;B组25例患者使用胸段硬膜外阻滞复合静脉全麻和患者自控硬膜外镇痛,对两组患者的生命质量的变化情况进行对比分析。结果 A组食管癌患者手术前生活质量低于手术后(P<0.05),其他指标均没有统计学意义(P>0.05);而B组食管癌患者手术前生命质量和生活质量均低于手术后(P<0.05),对手术有较高的满意度(P>0.05)。结论较之全凭静脉麻醉和患者自控静脉镇静,胸段硬膜外阻滞复合静脉全麻及患者自控硬膜外镇痛会起一定的作用,但是总体来说,不同麻醉和镇痛方法对患者的影响并不大。
Objective Through observation of different anesthetic and analgesic effects on patients with esophageal cancer operation,understand and analyse its clinical effect.Methods 50 cases of esophageal cancer surgery patients in our hospital received to carry on the research analysis,patients were randomly grouped into A, B two groups,using different anesthesia and analgesia. A group of 25 patients usingintravenous anesthesia and patient-controlled intravenous sedation; B group of 25 patients using thoracic epidural block combined with intravenous anesthesia and the patient controlled epidural analgesia,change of quality of life of patients in two groupswere compared.Results A group of patients with esophageal carcinoma before operation quality of life lower than after operation （P〈0.05）, the other indexes had nostatistical significance（P〉0.05）; B group of patients with esophageal carcinoma before operation quality of life and quality of life were lower than those after operation （P〈0.05）,the operation had a higher degree of satisfaction（P〉0.05）. Conclusion Compared with total intravenous anesthesia and patient-controlled intravenoussedation,thoracic epidural block combined with intravenous anesthesia and patientcontrolled epidural analgesia may play a role,but overall,different anesthesia and analgesia methods on patients with little impact.
出处
《中国卫生标准管理》
2015年第8期20-21,共2页
China Health Standard Management
关键词
食管癌
全凭静脉麻醉
胸段硬膜外阻滞复合静脉全麻
Esophageal carcinoma
Total intravenous anesthesia
Thoracic epidural block combined with intravenous anesthesia
