硬膜外麻醉复合全身麻醉用于直肠癌根治手术麻醉分析

发布时间：2017-12-31 03:20

本文关键词：硬膜外麻醉复合全身麻醉用于直肠癌根治手术麻醉分析　出处：《世界最新医学信息文摘》2016年79期 　论文类型：期刊论文

【摘要】：目的探究硬膜外麻醉复合全身麻醉用于直肠癌根治手术的麻醉效果。方法选取2011年3月至2014年3月我院收治的82例行直肠癌根治术患者,随机分为观察组和对照组两组,每组各41例,对照组患者采用全身麻醉,观察组患者采用硬膜外麻醉复合全身麻醉,观察比较两组患者麻醉前后的血压、心率变化情况、麻醉起效时间、术毕离开时间。结果拔管时,观察组的平均动脉压、心率均下降,对照组升高明显,且波动幅度大;观察组麻麻醉起效时间、术毕离开时间分别为(8.89±2.17)min、(45.93±5.64)min,患者及家属满意度92.6%;对照组麻醉起效时间、术毕离开时间分别为(19.72±4.23)min、(67.87±5.62)min,患者及家属满意度65.8%;观察组并发症发生率9.75%,对照组并发症发生率29.26%;组间比较差异明显,具有统计学意义P0.05。结论对直肠癌根治手术患者采取硬膜外麻醉复合全身麻醉,麻醉疗效满意时间长,术后并发症较少,对患者全身影响较小,值得在临床上推广应用。
[Abstract]:Anesthesia for radical resection of rectal cancer objective to explore the effect of epidural anesthesia. Methods from March 2011 to March 2014 in our hospital 82 cases of rectal cancer patients were randomly divided into observation group and control group two groups, 41 cases in each group, the control group was treated with general anesthesia, general anesthesia in the observation group were treated by epidural anesthesia were observed before and after anesthesia, compared two groups of patients with blood pressure, heart rate changes, onset time of anesthesia, postoperative extubation time left. The results of the observation group, mean arterial pressure, heart rate decreased, the control group increased significantly, and the fluctuation is large; the observation group anesthesia onset time, anesthesia time left respectively. (8.89 + 2.17) min, (45.93 + 5.64) min, the satisfaction of patients and their families 92.6%; control group, the onset time of anesthesia, postoperative left time was (19.72 + 4.23) min, (67.87 + 5.62) min, patients and their families full Of the 65.8%; the incidence of complications in observation group 9.75%, control group, the complication rate was 29.26%; the difference between groups was significant, with statistical significance P0.05. conclusion of radical surgery for rectal carcinoma patients with epidural anesthesia combined with general anesthesia, anesthesia effect is satisfactory for long time, less postoperative complications, less influence on patients, it is worthy of clinical application.

【作者单位】：古交矿区总医院麻醉科;
【分类号】：R614;R735.37
【正文快照】： 1资料与方法1.1一般资料。选取2011年3月至2014年3月我院收治的82例行直肠癌根治术患者,随机分为观察组和对照组两组,观察组41例患者,其中男性21例,女性20例,年龄40~78岁,平均(52.4±2.6)岁;对照组41例患者,其中男性20例,女性21例,年龄41~79岁,平均(53.3±1.6)岁。两组患者的

【相似文献】