摘要
目的探讨全身麻醉联合硬膜外麻醉在直肠癌根治术中的应用效果。方法选取2014年6月~2015年6月我院所收治30例行直肠癌根治术患者作为研究对象,随机分成观察组,每组15例。对照组执行常规气管插管进行全身麻醉,观察组执行硬膜外麻醉联合全身麻醉。对比观察两组患者麻醉成效、麻醉当中各阶段血压、心率与不良反应情况。结果观察组插管时、切开后与拔管时的心率分别为（78.8±7.5）次/分、（75.3±7.3）次/分、（78.2±7.6）次/分,血压分别为（82.7±5.6）mm Hg、（81.4±5.6）mm Hg、（82.2±5.0）mm Hg,低于对照组,差异有统计学意义（P〈0.05）。对比两组不良反应率,差异无统计学意义（P〉0.05）。结论在直肠癌根治术中,应用全身麻醉联合硬膜外麻醉的方式可以提高麻醉效果,并且无明显不良反应。
Objective To investigate the effect of general anesthesia combined with epidural anesthesia in radical operation of rectal cancer. Methods From June 2014 to June 2015,30 patients with rectal cancer underwent radical resection of rectal cancer as the research object,randomly divided into observation group,each group of 15 cases. The control group was performed with general anesthesia,and the observation group was performed with epidural anesthesia combined with general anesthesia. The effect of anesthesia,blood pressure,heart rate and adverse reaction of two groups of patients were observed and compared. Results The observation group,after incision intubation and extubation rate respectively（78.8±7.5）score/min,（75.3±7.3）score/min,（78.2±7.6） score/min,the blood pressure were（82.7±5.6）mm Hg,（81.4±5.6） mm Hg,（82.2±5.0） mm Hg,below the control group,the difference was statistically significant（P〈0.05）. There was no significant difference in adverse reaction rates between the two groups（P〈0.05）. Conclusion In the radical operation of rectal cancer,the use of general anesthesia combined with epidural anesthesia can improve the effect of anesthesia,and no significant adverse reactions.
出处
《中国继续医学教育》
2016年第34期79-80,共2页
China Continuing Medical Education
关键词
全身麻醉
硬膜外麻醉
直肠癌
麻醉效果
General anesthesia
Epidural anesthesia
Rectal cancer
Anesthetic effect
