腹腔镜结直肠癌根治术患者应用不同麻醉镇痛方式的术后转归对比

发布时间：2019-07-12 11:18

【摘要】：目的:对比腹腔镜结直肠癌根治术患者应用不同麻醉镇痛方式的术后转归效果。方法:回顾性分析62例腹腔镜结直肠癌根治术患者的临床资料,根据应用的麻醉镇痛方式进行分组;其中硬膜外镇痛组31例、静脉镇痛组32例;对比两组患者的七氟醚、舒芬太尼及麻黄碱的用量,记录术后1 h、6 h、12 h、24 h、48 h的视觉模拟评分(VAS),根据肠道功能恢复时间、进食时间、下床活动时间,综合评价患者的术后转归情况。结果:静脉镇痛组七氟醚、舒芬太尼、麻黄碱的用量明显多于硬膜外镇痛组;硬膜外镇痛组患者各时间点VAS均明显低于静脉镇痛组;硬膜外镇痛组患者的肠道功能恢复时间、进食时间、下床活动时间均明显短于对照组,差异具有统计学意义(P0.05)。结论:全麻联合硬膜外镇痛对腹腔镜结直肠癌根治术患者的效果优于全麻联合静脉镇痛,全麻联合硬膜外镇痛更有利于术后转归。
[Abstract]:Objective: to compare the postoperative outcome of laparoscopic radical resection of colorectal cancer with different anaesthesia and analgesia. Methods: the clinical data of 62 patients undergoing laparoscopic radical resection of colorectal cancer were analyzed retrospectively and divided into two groups according to the anesthetic analgesia method, including 31 cases of epidural analgesia group and 32 cases of intravenous analgesia group. The dosage of sevoflurane, sufentanil and ephedrine were compared between the two groups. The visual analog score of (VAS), at 1 h, 6 h, 12 h, 24 h and 48 h was evaluated according to the recovery time of intestinal function, eating time and getting out of bed. Results: the dosage of sevoflurane, sufentanil and ephedrine in intravenous analgesia group was significantly higher than that in epidural analgesia group, VAS in epidural analgesia group was significantly lower than that in intravenous analgesia group, and the recovery time of intestinal function, eating time and time of getting out of bed in epidural analgesia group were significantly shorter than those in control group (P 0.05). Conclusion: the effect of general anesthesia combined with epidural analgesia is better than that of general anesthesia combined with intravenous analgesia in patients with laparoscopic radical resection of colorectal cancer, and general anesthesia combined with epidural analgesia is more beneficial to postoperative outcome.
【作者单位】：佛山市顺德区容桂街道新容奇医院;
【分类号】：R735.34;R614

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