胸椎旁神经阻滞复合全身麻醉在腹腔镜大肠癌手术中的应用效果观察  

Efficacy Observation on Blockage of Nerve by Vertebrae Thoracicae plus Compound General Anesthesia in Laparoscopic Surgery for Large Intestinal Cancer

作　　者：金丽 JIN Li(Dept.of Anesthesia&Perioperative Medicine,the First Affiliated Hospital to Nanyang Medical College for Professional Training,Nanyang,Henan 473000)

机构地区：[1]南阳医学高等专科学校第一附属医院麻醉与围术期医学科手术部,河南南阳473000

出　　处：《中国肛肠病杂志》2023年第1期21-23,共3页Chinese Journal of Coloproctology

摘　　要：目的:观察胸椎旁神经阻滞复合全身麻醉在腹腔镜大肠癌手术患者中的效果。方法:将腹腔镜大肠癌手术患者120例随机分为观察组和对照组,每组60例。观察组患者采用胸椎旁神经阻滞复合全身麻醉,对照组患者采用全身麻醉,观察2组患者镇痛持续时间、术后苏醒时间、住院时间,不同时段患者生命体征变化情况以及术后并发症发生率。结果:观察组患者镇痛持续时间长于对照组(P<0.05),术后苏醒时间、住院时间短于对照组(P<0.05)。手术前(T_(0))2组患者心率(HR)、收缩压(SBP)、平均动脉压(MAP)、呼气末二氧化碳分压(P_(ET)CO_(2))比较差异无统计学意义(P>0.05),麻醉给药15 min后(T_(1))、手术开始30 min(T_(2))、手术开始1 h(T_(3))、手术结束时(T_(4)),观察组患者各指标均优于对照组(P<0.05)。观察组患者术后并发症发生率低于对照组(P<0.05)。结论:胸椎旁神经阻滞复合全身麻醉在腹腔镜大肠癌手术患者中麻醉效果显著,不仅可以缩短患者住院时间,而且还可以降低术后并发症发生率,安全性较高。Objective To observe the efficacy of blockage of nerve by vertebrae thoracicae plus compound general anesthesia in laparoscopic surgery for large intestinal cancer. Methods Randomly divided 120 patients to be subject to laparoscopic surgery for large intestinal cancer in author’s hospital into observation group(60 cases, received above-mentioned nerve blockage plus anesthesia when surgery) and control group(60 cases, only general anesthesia);then, observed both groups’ following items such as the time for analgesia continued, for emergence after surgery, and for hospitalization;the status on patients’ vital signs change at different time-segments, as well as the incidence of postoperative complications. Results In the time for analgesia continued, in the time for postoperative emergence and for hospitalization observation group was respectively longer, shorter than control group(all, P<0.05);before surgery(T_(0)) in HR,SBP,MAP,and P_(ET)CO_(2),there was no statistical difference between the two groups(P>0.05),but, at T_(1)(15 min after using anesthesia drugs),T_(2)(30 min surgery started),T_(2)(1 h surgery started) and T_(3)(in the end of surgery) above-mentioned indexes of observation group were superior to that of control group(P<0.05);the incidence of postoperative complications in observation group was lower than that in control group(P<0.05). Conclusion The efficacy of blockage of nerve by vertebrae thoracicae plus compound general anesthesia in laparoscopic surgery for large intestinal cancer is significant, it can not only shorten hospitalization time, but reduce the incidence of postoperative complications, and with higher safety.

关 键 词：大肠癌 腹腔镜 手术 胸椎旁神经阻滞 全身麻醉 

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