浅析全麻与全麻联合硬膜外阻滞在胃癌根治术中的效果比较被引量：1

Brief investigation by comparing effects between general anesthesia and general anesthesia combined with epidural block in radical operation for stomach cancer

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摘要目的探讨胃癌根治术使用全身麻醉(全麻)和硬膜外阻滞联合麻醉的临床效果。方法 50例行胃癌根治术患者,随机分为A、B组,各25例。A组使用全麻,B组使用全麻联合硬膜外阻滞麻醉。比较两组麻醉情况。结果 B组丙泊酚、芬太尼及阿曲库胺的用量(172±44)、(0.15±0.03)、(57.72±10.10)mg均少于A组的(324±107)、(0.28±0.05)、(75.95±12.90)mg(P<0.01),B组的拔管时间(10.02±3.17)min短于A组(27.33±5.08)min(P<0.01)。结论胃癌根治术使用全麻联合硬膜外阻滞麻醉效果好,麻醉剂量小,拔管时间短,安全性高。 Objective To investigate clinical effects by general anesthesia and general anesthesiacombined with epidural block applied in radical operation for stomach cancer. Methods A total of 50 patientsreceiving radical operation for stomach cancer were randomly divided into group A and group B, with 25 casesin each group. Group A received general anesthesia, and group B received general anesthesia combined withepidural block anesthesia. Anesthetic situation was compared between the two groups. Results Group B had alllower propofol, fentanyl and atracurium dosage as (172±44), (0.15±0.03), (57.72±10.10) mg than (324±107),(0.28±0.05), (75.95±12.90) mg in group A (P<0.01). Group B had shorter extubation time as (10.02±3.17) minthan (27.33±5.08) min in group A (P<0.01). Conclusion Implement of general anesthesia combinedwith epidural block applied in operation for stomach cancer provides good anesthetic effect, low anestheticconcentration, short extubation time and high safety.

作者都兴光 DU Xing-guang(Daqing Oilfield General Hospital, Daqing 163000, China)

机构地区大庆油田总医院

出处《中国现代药物应用》 2016年第17期43-44,共2页 Chinese Journal of Modern Drug Application

关键词全身麻醉硬膜外阻滞胃癌根治术 General anesthesia Epidural block Radical operation for stomach cancer

分类号 R614 [医药卫生—麻醉学]

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