摘要
目的探讨硬膜外麻醉复合全身麻醉和单纯全身麻醉在腹腔镜直肠癌手术中的疗效。方法回顾分析2010年3月～2011年12月87例腹腔镜直肠癌手术的临床资料,其中硬膜外麻醉复合全身麻醉45例(WE组),单纯全身麻醉42例(WH组),比较两组麻醉效果。结果 2组患者麻醉效果均满意,各时点MAP、HR差异无统计学意义(P>0.05),WE组患者的全麻药用量低于WH组(P<0.05),WE组术后苏醒和拔管时间均显著低于WH组(P<0.01)。结论硬膜外麻醉复合全身麻醉效果满意,并减少全麻药用量,缩短术后完全苏醒时间,值得临床应用。
Objective To investigate the anaesthesia efficacy of whole hemp compound epidural anesthesia（ WE group） and whole hemps（ WH group） for laparoscopic rectal cancer. Methods The clinical data of 87 patients undergoing laparoscopic rectal cancer between Mar. 2010 and Dee. 2011 were analyzed. Among them, 45 cases treated by WE, and 42 cases treated by WH. Clinical effect between groups were compared. Results The anesthesia effect in two groups were perfect. No significant difference was observed in MAP and HR between two groups（P 〉 0. 05）. Patients in WE group had less dosage of anesthesia and quicker recovery （ P 〈 0. 05 or P 〈 0. 01 ）. Conclusion There are nice anaesthesia efficacy in the application of whole hemp com- pound epidural anesthesia for laparoscopic rectal cancer. The less dosage of anesthesia and quicker recovery are advantage for clinic application.
出处
《四川医学》
CAS
2012年第8期1442-1443,共2页
Sichuan Medical Journal
关键词
直肠癌
腹腔镜
麻醉
rectal cancer
laparoscope
anaesthesia
