试论联合进行硬膜外麻醉和吸入式全麻对接受胃癌根治术的患者术后苏醒的影响

发布时间：2018-03-25 14:17

本文选题：胃癌根治术　切入点：硬膜外麻醉　出处：《当代医药论丛》2016年18期

【摘要】：目的:试论联合进行硬膜外麻醉和吸入式全麻对接受胃癌根治术的患者术后苏醒的影响。方法:对2013年1月~2015年1月期间在我院进行胃癌根治术的41例患者的临床资料进行回顾性研究。我们将这41例患者随机分为实验组和对照组,其中实验组有21例患者,对照组有20例患者。在这两组患者进行胃癌根治术时,我院对对照组患者进行吸入式全麻,对实验组患者联合进行硬膜外麻醉和吸入式全麻。手术结束后,比较两组患者苏醒时的MAC值、术毕至苏醒的时间和Steward(苏醒指数)的评分。结果:实验组患者苏醒时的MAC值和Steward的评分均明显优于对照组患者,差异有统计学意义(p0.05)。实验组患者术毕至苏醒的时间明显长于对照组患者,差异有统计学意义(p0.05)。结论:对接受胃癌根治术的患者联合进行硬膜外麻醉和吸入式全麻虽然会延长其术毕至苏醒的时间,但会使其身体在苏醒时处于较好的状态,而且对其神经系统的影响较小。因此,接受胃癌根治术的患者可将联合进行硬膜外麻醉和吸入式全麻作为首选的麻醉方法。
[Abstract]:Objective: to discuss the effect of combined epidural anesthesia and inhaled general anesthesia on postoperative recovery of patients undergoing radical gastrectomy. Methods: from January 2013 to January 2015, 41 patients underwent radical gastrectomy in our hospital. We randomly divided the 41 patients into experimental group and control group. There were 21 patients in the experimental group and 20 patients in the control group. The patients in the experimental group were given combined epidural anesthesia and inhaled general anesthesia. After the operation, the MAC values of the two groups were compared when they woke up. Results: the MAC and Steward scores of the patients in the experimental group were significantly better than those in the control group. The difference was statistically significant (P 0.05). The time from the end of operation to waking up in the experimental group was significantly longer than that in the control group. Conclusion: the combination of epidural anesthesia and inhaled general anesthesia may prolong the recovery time of patients undergoing radical gastrectomy, but they will be in a better condition when they wake up. Therefore, patients undergoing radical gastrectomy may use combined epidural anesthesia and inhaled general anesthesia as the first choice of anesthesia.
【作者单位】：福建省肿瘤医院麻醉科室;
【分类号】：R614;R735.2

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