摘要
目的探讨对直肠癌根治术患者进行硬膜外麻醉+全身麻醉后获得的临床效果。方法选择我院2015年11月—2017年12月收治的82例直肠癌根治术患者作为实验对象;采用数字奇偶法分组;临床研究麻醉方法期间,对照组(41例)选择全身麻醉;观察组(41例)选择硬膜外麻醉+全身麻醉;对比两组直肠癌根治术患者心率水平、平均动脉压水平以及麻醉不良反应发生率。结果与对照组直肠癌根治术患者心率水平对比,观察组下降程度明显(P<0.05);与对照组直肠癌根治术患者平均动脉压水平对比,观察组下降程度明显(P<0.05);对照组直肠癌根治术患者麻醉不良反应发生率(34.15%)对比观察组(7.32%)下降程度明显(P<0.05)。结论在研究直肠癌根治术麻醉方式期间,同单纯全身麻醉比较,选择硬膜外麻醉+全身麻醉,在心率水平、平均动脉压水平以及麻醉不良反应方面具有优势,对直肠癌根治术患者手术顺利以及术后快速恢复奠定坚实基础。
Objective To investigate the clinical effect of epidural anesthesia and general anesthesia in radical resection of rectal cancer. Methods Eighty-two patients undergoing radical resection for rectal cancer from November 2015 to December 2017 in our hospital were selected as experimental subjects; they were grouped by the numerical odds method. During the clinical study of anesthesia, the control group （41 cases） was given general anesthesia; while the observation group （41 cases） was given the epidural anesthesia combined with general anesthesia. The rate of heart rate, mean arterial pressure and the incidence of adverse drug reactions were compared in the two groups of radical resection of rectal cancer. Results Compared with the control group, the heart rate of patients undergoing radical resection of rectal cancer was signifcantly lower in the observation group （P 〈 0.05）. Compared with the mean arterial pressure of the rectal cancer patients in the control group, the observation group was signifcantly decreased （P 〈 0.05）. Compared with the control group, the incidence of anesthetic adverse reactions （34.15%） was significantly lower in the observation group （7.32%） （P 〈 0.05）. Conclusion Research in colorectal cancer radical prostatectomy during anesthesia, compared to pure general anesthesia, choose epidural anesthesia with general anesthesia, the heart rate, mean arterial pressure levels and adverse reactions in anesthesia has the advantage, smooth and rapid postoperative recovery in patients with colorectal cancer radical surgery lay a solid foundation.
作者
陈洪涛
胡秀琴
肖鹏冲
徐莉
于志英
李金宝
CHEN Hongtao;HU Xiuqin;XIAO Pengchong;XU Li;YU Zhiying;LI Jinbao(Anesthesiology Department, Eighth People＇s Hospital of Guangzhou, Guangzhou Guangdong 510060, China;Surgery Department)
出处
《中国卫生标准管理》
2018年第9期130-133,共4页
China Health Standard Management
关键词
硬膜外麻醉
全身麻醉
直肠癌
根治术
麻醉
效果
epidural anesthesia
general anesthesia
rectal cancer
radical mastectomy
anesthesia
efect
