硬膜外麻醉有利于胃癌根治术术后胃肠运动功能的恢复  

Epidural anesthesia benefites gastrointestinal motility following radical gastrectomy

作　　者：张国荣[1] 李朝鲜[1] 宋志鸿[1] 黄俊梅[1] 宋建刚 任俊卿[1] 张晋东[1] 

机构地区：[1]空军总医院麻醉科,北京100036

出　　处：《空军总医院学报》2002年第2期66-68,共3页Journal of General Hospital of Air Force,PLA

摘　　要：目的　观察硬膜外麻醉和全麻对胃癌根治切除术患者术后恢复的影响。　方法　回顾性分析了 1988年 10月～1993年 10月期间施行胃癌根治切除术 6 9例 ,其中硬膜外麻醉 (E组 ) 35例 ,全麻 (G组 ) 34例。记录术后肛门排气时间、胃管留置时间、进食流质时间、术后镇痛剂的用量、并发症发生率以及出院时间。　结果　 E组与 G组相比 ,术后肛门排气时间 (P<0 .0 0 2 )、拔胃管时间 (P<0 .0 0 1)、进流食时间 (P<0 .0 0 1)以及术后住院时间 (P<0 .0 5 )有显著性差异。　结论　与全麻相比硬膜外麻醉有利于胃癌根治术术后胃肠运动功能的恢复 ,能缩短术后住院时间。Objective To investigate the effects of epidural anesthesia and general anesthesia on the outcome of radical gastrectomy. Methods This was a retrospective review of 69 consecutive nonrandomized patients undergoing radical gastrectomy over a 5 year period by a group of surgeons, 35 patients received epidural anesthesia (group E), 34 patients received general anesthesia (group G). Postoperatively, patients in both groups received intramuscularly fortanodyn and pethidine as postoperative analgesia. Variables recorded were time of return of peristalsis, duration of nasogastric intubation, starting oral clear liquids, length of hospital stay after operation. Data was analyzed with a two-side t-test and chi-square test where appropriate. Results Statistically significant differences were found between group E and group G with regard to return of peristalsis(P<0.002), duration of nasogastric intubation(P<0.001), starting oral clear liquids(P<0.001), and the hospital stay(P<0.05) after operation. Conclusion Epidural anesthesia benefited postoperative gastrointestinal motility and shortened the length of hospital stay following gastrectomy in comparison with that in general anesthesia.

关 键 词：硬膜外麻醉 胃癌根治术 胃肠运动功能 肛门排气 胃肿瘤 

分 类 号：R735.2[医药卫生—肿瘤] R614.42[医药卫生—临床医学]