硬膜外辅助全麻与静吸全麻下100例消化道肿瘤患者的麻醉可行性对比  

A comparative study of the feasibility of epidural assisted anesthesia and isoflurane anesthesia in 100 patients with gastrointestinal cancer

作　　者：鲁竞[1] 熊桂林[1] 

机构地区：[1]湖北省荆州市第二人民医院麻醉科,湖北荆州434000

出　　处：《实用临床医药杂志》2012年第19期148-149,共2页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11220097)

摘　　要：目的比较硬膜外辅助全麻与静吸全麻下消化道肿瘤患者手术的临床疗效和不良反应,为今后手术患者提供更好的麻醉方法。方法选取本院就诊行手术治疗的消化道肿瘤患者100例,按照随机原则分为静吸全麻组和硬膜外辅助组。2组均使用气管内插管进行全麻,硬膜外辅助组在全麻的基础上使用利多卡因进行硬膜外阻滞,比较2组在手术完毕后拔管时间,以及术后的恶心呕吐、心律失常、血压升高的不良反应情况,综合评定2种麻醉方法的疗效。结果硬膜外辅助组麻醉后的拔管时间明显比静吸全麻组短,术后发生并发症的情况少于静吸全麻组。结论对消化道肿瘤患者采用静吸全麻复合利多卡因硬膜外麻醉取得了满意的麻醉效果。Objective To compare the clinical efficacy and adverse effects of epidural assist- ed anesthesia with isoflurane surgery under general anesthesia in patients with gastrointestinal tu- mors, and provide better anesthesia for future surgery. Methods A total of 100 gastrointestinal cancer patients of our hospital who underwent surgery were selected, and they were randomly divid- ed into isoflurane anesthesia group and epidural- assisted group. Patients received endotracheal in- tubation under general anesthesia. On the basis of general anesthesia, the epidural - assisted group received lidocaine for epidural anesthesia. The extubation time after surgery, postoperative nausea and vomiting, arrhythmias and blood pressure were compared in the two groups. The efficacy of two kinds of anesthetic methods was assessed. Results Extubation time after anesthesia in the epidural- assisted group was shorter than that in the isoflurane anesthesia group. There were less postoperative complications in the epidural - assisted group than in the isoflurane anesthesia group. Conclusion Isoflurane general anesthesia combined with lidocaine and epidural anesthesia can ob- tain a satisfactory anesthetic effect on gastrointestinal cancer patients.

关 键 词：利多卡因 消化道肿瘤 芬太尼 麻醉效果 

分 类 号：R735[医药卫生—肿瘤]