全身麻醉复合硬膜外腔阻滞麻醉用于食管癌手术的临床效果分析

发布时间：2018-01-13 15:30

本文关键词：全身麻醉复合硬膜外腔阻滞麻醉用于食管癌手术的临床效果分析　出处：《中外医疗》2016年34期 　论文类型：期刊论文

【摘要】：目的分析全身麻醉复合硬膜外腔阻滞麻醉用于食管癌手术时的临床效果。方法随机选取2015年6月—2016年6月该院收治的患者40例,根据麻醉方法分组,分别给予全身麻醉、全身麻醉复合硬膜外腔阻滞麻醉,对比两组患者临床效果。结果麻醉期内,观察组的HR为(64.8±6.4)、(74.2±9.4)、(76.1±8.5)次/min低于对照组,观察组的MAP为(85.4±7.3)、(88.4±7.2)、(90.2±6.8)mm Hg低于对照组,差异有统计学意义;观察组患者芬太尼、瑞芬太尼、顺式阿曲库胺的使用量分别为(0.25±0.05)、(1.36±0.23)、(17.01±2.21)mg少于对照组患者,术后自主呼吸恢复、完全清醒以及拔管时间分别为(6.37±1.25)、(8.83±2.01)、(13.39±2.46)min均明显短于对照组患者,差异有统计学意义。结论在食管癌手术时应用全身麻醉复合硬膜外腔阻滞麻醉,效果显著,值得推广。
[Abstract]:Objective to analyze the clinical effect of general anesthesia combined with epidural block anesthesia in the operation of esophageal carcinoma. Methods Forty patients treated in our hospital from June 2015 to June 2016 were randomly selected. According to the method of anesthesia, the patients were divided into two groups: general anesthesia, general anesthesia and epidural block. Results the HR of the observation group was 64.8 卤6.4 during the anaesthesia period. The MAP of the observation group was 85.4 卤7.3 卤7.2while that of the control group was lower than that of the control group (74.2 卤9.4 卤8.5times / min). 90.2 卤6.8 mm Hg was significantly lower than that in the control group. The dosage of fentanyl, remifentanil and cis atracuridine in the observation group were 0.25 卤0.05 and 1.36 卤0.23, respectively. Compared with the control group, 17.01 卤2.21 mg was less than that in the control group. The recovery of spontaneous respiration and the time of complete recovery and extubation were 6.37 卤1.25 and 8.83 卤2.01respectively. Conclusion the effect of general anesthesia combined with epidural block during esophageal cancer surgery is significant. It is worth popularizing.
【作者单位】：扬州市第一人民医院麻醉科;
【分类号】：R614;R735.1
【正文快照】： 食管癌手术时间长、患者术中应激反应和疼痛感极为明显[1-2],影响了患者手术治疗效果。该文以2015年6月—2016年6月该院收治的40例患者为研究对象,给予全身麻醉复合硬膜外腔阻滞麻醉,效果显著,现报道如下。1资料与方法1.1一般资料随机选取该院收治了食管癌患者40例,根据麻醉方

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