全身麻醉复合硬膜外阻滞的麻醉方式在老年结直肠癌行腹腔镜手术患者中应用效果  

General anesthesia combined with epidural anesthesia in elderly patients with colorectal cancer undergoing laparoscopic surgery

作　　者：占霖森[1] 兰允平[1] 黄莉[1] 王建[1] 张云锋[1] Zhan Linsen;Lan Yunping;Huang Li;Wang Jian;Zhang Yunfeng(Department of Anesthesiology,Quzhou People′s Hospital,Quzhou 324000,China)

机构地区：[1]浙江衢州市人民医院麻醉科,324000

出　　处：《中国临床保健杂志》2019年第1期60-63,共4页Chinese Journal of Clinical Healthcare

基　　金：浙江省医药卫生科技青年人才计划项目(2019RC306)

摘　　要：目的探讨全身麻醉复合硬膜外阻滞的麻醉方式在老年结直肠癌行腹腔镜手术患者中应用的效果。方法 88例老年结直肠癌患者行腹腔镜手术治疗。按照随机数字表法分组,对照组44例,行全身麻醉;观察组44例,行硬膜外阻滞麻醉复合全身麻醉。对比两组的麻醉效果。结果观察组患者镇痛肌松效果显著高于对照组(P <0. 05);两组患者麻醉前及术后放气后5 min,对比心率(HR)及平均动脉压(MAP)差异均无统计学意义(P> 0. 05),但气腹前10 min及气腹后10 min比较,组间差异均有统计学意义(P <0. 05);且观察组患者术后拔管时间及睁眼时间均明显短于对照组(P <0. 05)。结论采用全身麻醉复合硬膜外阻滞的麻醉方式对老年结直肠癌腹腔镜手术患者可显著提高麻醉效果。Objective To investigate the effect of general anesthesia combined with epidural block anesthesia in elderly patients with colorectal cancer undergoing laparoscopic surgery.Methods 88 cases of elderly patients with colorectal cancer were selected and treated by laparoscopic surgery.The patients were divided into control group(44 cases)and observation group(44 cases).The anesthesia effects of the two groups were compared.Results The analgesic muscle relaxation effect of the observation group was significantly higher than that of the control group(P<0.05).There was no statistical difference in heart rate(HR)and mean arterial pressure(MAP)between the two groups of patients before and after venting for 5 min(P >0.05),but the difference between the groups was statistically significant(P<0.05)in extubation time and the blink time in the observation group.In the control group(P<0.05).Conclusion General anesthesia combined with epidural anesthesia for elderly patients with colorectal cancer undergoing laparoscopic surgery can significantly improve the anesthesia effect,reduce stress response,and can be popularized and applied.

关 键 词：结直肠肿瘤 麻醉 腹腔镜检查 老年人 

分 类 号：R614[医药卫生—麻醉学] R735.34[医药卫生—外科学]