腹腔镜直肠癌根治术不同麻醉方法的对比研究  

作　　者：熊高才 

机构地区：[1]乐山市市中区人民医院,四川乐山614000

出　　处：《湖南中医药大学学报》2018年第A01期862-862,共1页Journal of Hunan University of Chinese Medicine

摘　　要：目的:探析腹腔镜直肠癌根治术不同麻醉方式的应用情况。方法:选取我院接收的行腹腔镜直肠癌根治术68例患者为研究对象,随机分设研究组和对照组两组,每组34例。予以对照组全身麻醉,予以研究组硬膜外麻醉复合全身麻醉。比较观察应用不同麻醉后取得的麻醉效果情况。结果:在气腹后半小时、拔管后5分钟及拔管后2小时等时段,研究组患者的MAP、HR水平情况,以及NE、E和Cor水平情况均低于对照组(P<0.05)。结论:对行腹腔性直肠癌根治术患者予以硬膜外联合全身麻醉,既能稳定患者的血流动力学,而且还能使应激反应情况得到改善。Objective:To investigate the application of different anesthesia methods in laparoscopic radical resection of rectal cancer.Methods:68 patients received radical laparoscopic rectal cancer surgery in our hospital were selected as study subjects.34 patients were rand omly divided into study group and control group.General anesthesia was given to the control group and general anesthesia was given to the study group.To observe the effect of different anesthesia.Results:The levels of MAP,HR,NE,E and Cor were lower than those of control group in half an hour,5 minutes and 2 minutes(P 0.05).Conclusion:The epidural anesthesia combined with radical resection of abdominal rectal cancer can stabilize hemodynamics and improve stress response.

关 键 词：硬膜外复合麻醉 全身麻醉 腹腔镜直肠癌根治术 

分 类 号：R735.37[医药卫生—肿瘤]