静吸复合全身麻醉联合超声引导下区域阻滞麻醉对腹腔镜结肠癌根治术患者的应用效果分析  

Application Effects Analysis of Intravenous-Inhalation Combined General Anesthesia Combined with Ultrasound-Guided Regional Block Anesthesia in Patients Undergoing Laparoscopic Radical Resection of Colon Cancer

作　　者：徐康[1] Xu Kang(Department of Anesthesiology,Xintai People's Hospital,Taian 271200,Shandong Province,China)

机构地区：[1]新泰市人民医院麻醉科,山东泰安271200

出　　处：《中国社区医师》2023年第21期27-29,共3页Chinese Community Doctors

摘　　要：目的:探讨静吸复合全身麻醉(简称全麻)联合超声引导下区域阻滞麻醉对腹腔镜结肠癌根治术患者的应用效果。方法:选取2017年10月—2021年6月在新泰市人民医院接受腹腔镜结肠癌根治术治疗的患者96例作为研究对象,按麻醉方案的不同分为两组,各48例。对照组行静吸复合全麻,研究组行静吸复合全麻联合超声引导下区域阻滞麻醉。比较两组应激反应指标、术后恢复效果。结果:术后24 h,两组血浆皮质醇、去甲肾上腺素、平均动脉压水平均高于术前,但研究组低于对照组;两组血氧饱和度均低于术前,但研究组高于对照组,差异有统计学意义(P<0.05)。研究组术后苏醒时间、首次排气时间、进食时间、拔管时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论:静吸复合全麻联合超声引导下区域阻滞麻醉能减轻腹腔镜结肠癌根治术后患者应激反应,缩短患者术后恢复时间。Objective:To study the application effect of intravenous-inhalation combined general anesthesia combined with ultrasound-guided regional block anesthesia in patients undergoing laparoscopic radical resection of colon cancer.Methods:A total of 96 patients undergoing laparoscopic radical resection of colon cancer in Xintai People's Hospital from October 2017 to June 2021 were selected as the study subjects.They were divided into two groups according to the anesthesia protocol,with 48 cases in each group.The control group underwent intravenous-inhalation combined general anesthesia,and the study group underwent intravenous-inhalation combined general anesthesia combined with ultrasound-guided regional block anesthesia.The change of stress response index and the effect of postoperative recovery were compared between the two groups.Results:At 24 h after surgery,plasma cortisol,norepinephrine and mean arterial pressure levels in both groups were higher than those before surgery,but the study group was lower than the control group.The blood oxygen saturation in both groups was lower than that before surgery,but the study group was higher than the control group,and the difference was statistically significant(P<0.05).The postoperative recovery time,first exhaust time,feeding time,extubation time,and length of hospital stay in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The intravenousinhalation combined general anesthesia combined with ultrasound-guided regional block anesthesia can relieve stress response in patients undergoing laparoscopic radical resection of colon cancer and shorten the postoperative recovery time.

关 键 词：腹腔镜结肠癌根治术 超声引导下区域阻滞麻醉 应激反应 

分 类 号：R614[医药卫生—麻醉学] R735.35[医药卫生—外科学]