摘要
目的观察改良快速顺序诱导用于快速康复外科全麻患者的临床效果。方法选择60例接受快速康复外科围术期治疗模式的胃癌、结直肠癌根治术全麻患者,随机分为观察组和对照组各30例,分别行改良快速顺序诱导及常规快速顺序诱导。记录麻醉时间和手术时间,监测麻醉诱导前(T1)、麻醉诱导后(T2)胃内压和口咽部分泌物pH值,记录术后首次肛门排气时间、住院时间和住院费用。结果两组麻醉时间和手术时间比较差异均无统计学意义(P均>0.05);与T1时点比较,T2时点观察组胃内压、口咽部分泌物pH值均无显著变化(P均>0.05),对照组均升高(P分别<0.05、>0.05);与对照组比较,观察组术后首次肛门排气时间及住院时间均明显缩短、住院费用明显减少(P均<0.05)。结论改良快速顺序诱导用于快速康复外科全麻患者,可促进其术后胃肠功能恢复、缩短住院时间和减少住院费用。
Objective To observe the clinical effect of the modified rapid sequence induction used in patients under- going general anesthesia in fast-track surgery. Methods Sixty ASA I or I[ patients, aged 30-65 yr, weighing 45-67 kg, scheduled for gastric cancer, colorectal cancer surgery under general anesthesia were randomly divided into two groups （n = 30 each） ： the observation group undergoing modified rapid sequence induction and the control group undergoing conven- tional rapid induction. The time of operation and anesthesia was recorded. Intra-gastric pressure and pharyngeal pH value were measured at the time of pre-induction （T~） and post-induction （T2 ）. Meanwhile,the time of first flatus, length of pri- mary hospital stays and cost of hospital admission were recorded. Results No difference were noted in the time of opera- tion and anesthesia between the two groups （ all P 〉 O. 05）. Compared with T~, the intra-gastric pressure and the pharynge- al pH value at T2 in the observation group were not significantly different （ all P 〉 0.05 ）, while that in the control group was significantly increased （ P 〈 0.05, P 〉 O. 05 respectively）~ Compared with the control group, the time of first flatus was significantly less, the length of primary hospital stays and the cost of hospital admission were significantly reduced in the observation group （ all P 〈 0.05 ）. Conclusion The modified rapid sequence induction can be effectively used in general anesthesia patients, which can accelerate the recovery of gastrointestinal function, reduce length of primary hospital stays and cost of hospital admission.
出处
《山东医药》
CAS
2013年第27期42-44,共3页
Shandong Medical Journal
基金
安徽医科大学校园基金资助项目(2011xkj094)
关键词
改良快速顺序诱导
快速康复外科
全身麻醉
modified rapid sequence induction
fast-track surgery
anesthesia, general
