全身麻醉复合硬膜外麻醉对直肠癌Miles手术患者血糖的影响  

General anesthesia combined with epidural anesthesia on rectal cancer patient blood glucose effect of miles operation

作　　者：朱万有 尹智[1] 

机构地区：[1]四川省资中县人民医院麻醉科,四川资中641200

出　　处：《吉林医学》2012年第17期3597-3599,共3页Jilin Medical Journal

摘　　要：目的:探讨直肠癌Miles手术时采用全身麻醉和全身麻醉复合硬膜外麻醉对患者围手术期血糖的影响。方法:将30例直肠癌Miles手术患者随机分成全身麻醉加硬膜外组(G加E组)和全身麻醉组(G组),分别于麻醉前、麻醉后手术前、切皮后30 min、90 min、手术结束时以及术后12 h,测末梢血糖。结果:两组患者麻醉后切皮前的血糖水平与麻醉前比较,差异无统计学意义。两组患者血糖水平自切皮后30min开始升高,手术结束时达高峰(P<0.05),手术后12 h开始下降。G组自切皮后30min、术后12 h血糖升高幅度均大于G加E组(P<0.05)。结论:全身麻醉复合硬膜外麻醉较单纯全身麻醉更能抑制患者的应激反应,降低患者血糖升高幅度。Objective To investigate the Miles for rectal cancer operation by general anesthesia and general anesthesia combined with epidural anesthesia on patients during operation period the effect of glucose. Methods 30 eases of rectal cancer patients were randomly divided into Miles operation under general anesthesia and epidural anesthesia group （ G and E group） and general anesthesia group （ G group）, respectively, before anesthesia,after anesthesia before skin incision after operation,30 min,90 win,at the end of operation and postoperative 12 h, peripheral blood glucose measurement. The results of the two groups of patients after anesthesia, before skin incision blood glucose level and no obvious change before anesthesia. In two groups of patients blood glucose level since after skin incision of 30 rain began to increase, and reached a peak at the end of operation（ P 〈 0.05）, 12 h began to decline after operation. Since 30 min group G after skin incision, postoperative 12 h hyperglycemia amplitude are more than G and E group （ P 〈 0.05 ）. Conclusion General anesthesia combined with epidural anesthesia in a simple general anesthesia can inhibit the patient＇s stress response, reduce the blood glucose of patients with elevated amplitude.

关 键 词：全身麻醉 硬膜外 血糖 MILES手术 

分 类 号：R614[医药卫生—麻醉学]