麻醉方法和术后镇痛方式对胃癌患者手术后下呼吸道感染率的影响

发布时间：2018-04-02 15:11

  本文选题：硬膜外复合全麻并用PCEA　切入点：下呼吸道感染　出处：《世界最新医学信息文摘》2016年13期

【摘要】：目的:比较麻醉方法和术后镇痛方式对胃癌患者手术后下呼吸道感染发生率的影响。方法:选取2013年1月至2015年2月收治的94例胃癌患者,根据麻醉方法与镇痛方式的差异,分为研究组和对照组。每组各47例患者,研究组采用硬膜外复合全麻并于手术后应用硬膜外自控镇痛(PCEA)。对照组则采用传统的全身麻醉与PCVA(静脉自控镇痛)。于手术后对两组患者下呼吸道感染的发生率进行观察分析。结果:研究组和对照组手术后下呼吸道感染发生率分别为10.64%(5例)和23.40%(11例)。研究组显著低于对照组,且研究组p H值、Pa O2以及SO2指标明显优于对照组,组间数据差异明显,具有统计学意义(P0.05)。结论:硬膜外复合全麻麻醉并用PCEA的麻醉、镇痛方法,可有效降低下呼吸道感染的发生率,显著提高患者的治疗效果与生活质量,值得推广与应用。
[Abstract]:Objective: to compare the effect of anaesthesia and postoperative analgesia on the incidence of lower respiratory tract infection in patients with gastric cancer.Methods: 94 patients with gastric cancer from January 2013 to February 2015 were divided into study group and control group according to the difference of anesthesia and analgesia.There were 47 patients in each group. The study group was treated with epidural combined general anesthesia and PCEA after operation.The control group was treated with traditional general anesthesia and PCVA (patient-controlled intravenous analgesia).The incidence of lower respiratory tract infection in the two groups was observed and analyzed after operation.Results: the incidence of lower respiratory tract infection in the study group and the control group was 10.64 and 23.40 respectively.The values of pH, Pao 2 and SO2 in the study group were significantly lower than those in the control group, and the difference between the two groups was significant (P 0.05).Conclusion: combined epidural combined general anesthesia with PCEA anesthesia and analgesia can effectively reduce the incidence of lower respiratory tract infection and improve the treatment effect and quality of life of the patients. It is worth popularizing and applying.
【作者单位】： 吉林省通化市中心医院;
【分类号】：R614;R735.2
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本文编号：1700937