硬膜外阻滞对全麻下腹腔镜胃癌根治术老年患者苏醒期躁动的影响  

Effect of epidural anesthesia on restlessness in elderly patients undergoing radical laparoscopic radical gastrectomy under general

作　　者：谢宏伟[1] 

机构地区：[1]周口市中心医院麻醉科,河南周口466000

出　　处：《当代医学》2017年第2期105-106,共2页Contemporary Medicine

摘　　要：目的探讨全麻下腹腔镜胃癌根治术老年患者采用硬膜外阻滞对其苏醒期躁动的影响。方法选取接受全麻下腹腔镜胃癌根治术的60例老年患者进行研究,依据随机数表法分为观察组与对照组,各30例,观察组采用硬膜外阻滞复合全麻,对照组采用单纯全麻,对比观察两组患者苏醒期躁动发生情况及不良反应发生情况。结果观察组苏醒期躁动发生率和不良反应发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论对采用全麻下腹腔镜胃癌根治术进行治疗的老年患者实施硬膜外阻滞,能够显著降低苏醒期躁动发生率和不良反应发生率,安全性较高,具有一定临床价值,值得推广运用。Objective The effect of epidural block on the emergence agitation in elderly patients underwent laparoscopic radical gastrectomy under general anesthesia. Methods Sixty elderly patients underwent laparoscopic radical gastrectomy under general anesthesia were randomly di- vided into two groups. According to the random number table method,they were divided into Observation group and control group, each group of 30 cases. The observation group was treated with epidural block combined with general anesthesia, the control group was treated with simple general an- esthesia, The occurrence of agitation and adverse reactions occurring in two groups were compared and observed. Results Through comparative study, the occurrence rate and incidence of adverse reactions in observation group were significantly lower than those in control group, the difference was statistically significant （P〈0.05）. Conclusion Elderly patients undergoing laparoscopic radical gastrectomy under general anesthesia can re- duce the incidence of restlessness and the incidence of adverse reactions.It has High safety, with a certain clinical value, and it is worth promoting the use of it.

关 键 词：硬膜外阻滞 全麻下腹腔镜胃癌根治术 苏醒期躁动 

分 类 号：R614.2[医药卫生—麻醉学] R735.2[医药卫生—外科学]