硬膜外复合全身麻醉及术后硬膜外自控镇痛对于老年胃癌患者术后下呼吸道感染的影响

发布时间：2018-01-03 18:03

本文关键词：硬膜外复合全身麻醉及术后硬膜外自控镇痛对于老年胃癌患者术后下呼吸道感染的影响　出处：《河南外科学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的观察不同麻醉及镇痛方式对胃癌术后患者下呼吸道感染的影响。方法将110例胃癌根治术患者随机分为2组,每组55例。对照组给予全身麻醉及术后静脉自控镇痛,观察组给予硬膜外复合全身麻醉及术后硬膜外自控镇痛。观察2组患者镇痛效果、血流动力学变化及下呼吸道感染等指标。结果 2组患者术前的pH值、PaCO_2、PaO_2以及SpO_2水平比较及2组术后VAS评分比较差异均无统计学意义(P0.05)。2组患者pH值、PaCO_2、PaO_2以及SpO_2水平术后均较术前明显下降,但观察组上述指标的水平均明显优于对照组,2组差异有统计学意义(P0.05)。观察组术后下呼吸道感染的发生率低于对照组,差异有统计学意义(P0.05)。结论硬膜外复合全身麻醉及术后硬膜外自控镇痛应用于老年胃癌根治术,能降低术后下呼吸道感染发生率。
[Abstract]:Objective To observe the effects of different anesthesia and analgesia on postoperative gastric cancer patients with lower respiratory tract infection. Methods 110 cases of patients with radical resection of gastric cancer were randomly divided into 2 groups, 55 cases in each group. The control group was given general anesthesia and postoperative intravenous analgesia, observation group were given epidural anesthesia and postoperative epidural analgesia. To observe the analgesic effect of the 2 groups of patients, and hemodynamic change of lower respiratory tract infection and other indicators. The results of 2 groups of patients before pH, PaCO_2, PaO_2 and SpO_2 levels and compared 2 groups of postoperative VAS score showed no significant difference (P0.05) in.2 group were pH, PaCO_2, PaO_2 and SpO_2 levels after operation were significantly decreased, but the levels of above indexes in observation group were significantly better than the control group, there was significant difference between 2 groups (P0.05). The observation group postoperative infection rate lower than the control group, the difference was statistically significant (P 0.05) conclusion the application of epidural combined general anesthesia and postoperative epidural self-control analgesia in elderly gastric cancer radical operation can reduce the incidence of lower respiratory tract infection after operation.

【作者单位】：河南省舞阳县中心医院;
【分类号】：R614;R735.2
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