硬膜外阻滞复合全身麻醉对结直肠癌根治术患者术后恢复的影响  

Effect of epidural block combined with general anesthesia on postoperative recovery of patients with colorectal cancer after radical resection

作　　者：陈磊 李海涛 宋婷婷 车建翔 CHEN Lei;LI Haitao;SONG Tingting;CHE Jianxiang(Department of Anesthesiology,The 925th Hospital of the Joint Logistics Support Force of the Peoples Liberation Army of China,Guiyang 550000,Guizhou,China)

机构地区：[1]解放军联勤保障部队第九二五医院麻醉科,贵州贵阳550000

出　　处：《外科研究与新技术（中英文）》2024年第3期236-239,共4页Surgical Research and New Technique

摘　　要：目的观察硬膜外阻滞复合全身麻醉对结直肠癌根治术术后恢复的影响。方法选取2021年8月—2024年3月期间接受结直肠癌根治术的64例患者,依据麻醉方式的不同分为联合麻醉组(简称联合组)和对照组,每组各32例。对照组患者采用普通全身麻醉完成手术,联合组使用全身麻醉联合椎管内麻醉完成手术,比较两组患者术后并发症发生率和首次排气时间、排便时间和住院天数。结果联合组的术后并发症发生率显著低于对照组(P<0.05),其术后首次排气时间、排便时间和住院天数均显著短于对照组(P<0.05),术后12 h的视觉模拟评分法(VAS)评分显著低于对照组(P<0.05)。结论硬膜外复合全身麻醉可显著降低结直肠癌根治术的术后并发症发生率,促进患者术后排气、排便,缩短住院时间。Objective To observe the effect of epidural block combined with general anesthesia on recovery after radical resection of colorectal cancer.Methods A total of 64 patients who underwent radical surgery for colorectal cancer from August 2021 to March 2024 were selected.They were divided into a combination anesthesia group(hereinafter referred to as the combination group)and a control group based on different anesthesia methods,with 32 cases in each group.The control group received general anesthesia for surgery,while the combination group received general anesthesia combined with intrathecal anesthesia.The incidence rate of postoperative complications,first exhaust time,defecation time,and length of hospital stay were compared between the two groups.Results After the surgery,the incidence rate of postoperative complications in the combination group was significantly lower than that in the control group(P<0.05).The first postoperative exhaust time,defecation time,and length of hospital stay in the combination group were significantly shorter than those in the control group(P<0.05).The visual analogue scale(VAS)score at 12 h after surgery was significantly lower than that in the control group(P<0.05).Conclusion Epidural block combined with general anesthesia can significantly reduce the incidence of postoperative complications after radical resection of colorectal cancer,promote postoperative exhaust and defecation,and shorten the length of hospital stay.

关 键 词：硬膜外阻滞 全身麻醉 结直肠癌根治术 快速康复 

分 类 号：R614.2[医药卫生—麻醉学]