针药复合麻醉加速康复外科方案在腹腔镜结直肠癌根治术中的应用研究  

Application research of acupuncture and drug combined anesthesia enhanced recovery after surgery in laparoscopic colorectal-carcinoma surgery

作　　者：张晓明 吴祥[1] 邓志生[1] 钟维伟 徐兴华[1] 江伟琴 陶小龙[1] ZHANG Xiaoming;WU Xiang;DENG Zhisheng;ZHONG Weiwei;XU Xinghua;JIANG Weiqin;TAO Xiaolong(Department of Anesthesiology,the First Hospital of Nanchang,Jiangxi Province,Nanchang 330008,China)

机构地区：[1]南昌市第一医院麻醉科,江西南昌330008

出　　处：《中国当代医药》2025年第11期87-91,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0681)。

摘　　要：目的探讨针药复合麻醉加速康复外科(ERAS)方案在腹腔镜结直肠癌根治术中的应用效果。方法选取2022年1月至2024年1月南昌市第一医院收治的60例结直肠癌患者作为研究对象,采用随机数字表法分为A组与B组,每组30例。A组采用假针刺麻醉联合静脉麻醉ERAS方案,B组采用针药复合麻醉联合静脉麻醉ERAS方案。比较两组患者的血流动力学、术后镇痛情况、舒适度、胃肠功能、不良反应。结果B组术中及术后心率(HR)、平均动脉压(MAP)水平均低于A组,差异有统计学意义(P<0.05)。术后12 h,B组视觉模拟评分法(VAS)评分低于A组,舒适度评分(BCS)高于A组,差异有统计学意义(P<0.05)。B组胃肠功能恢复时间短于A组,差异有统计学意义(P<0.05)。两组患者不良反应总发生率比较,差异无统计学意义(P>0.05)。结论腹腔镜结直肠癌根治术采用针药复合麻醉ERAS方案可有效稳定患者血流动力学,提高术后镇痛效果,改善舒适度,加快胃肠功能恢复,安全性较高。Objective To investigate the effect of acupuncture and drug combined anesthesia enhanced recovery after surgery(ERAS)in laparoscopic colorectal-carcinoma surgery.Methods A total of 60 patients with colorectal cancer admitted to the First Hospital of Nanchang from January 2022 to January 2024 were selected as research objects,and they were divided into group A and group B according to random number table method,with 30 cases in each group.Group A was treated with pseudoacupuncture anesthesia combined with intravenous anesthesia ERAS,and group B was treated with acupuncture and drug combined anesthesia and intravenous anesthesia ERAS.The hemodynamics,postoperative analgesia,comfort level,gastrointestinal function and adverse reactions were compared between the two groups.Results The heart rate(HR)and mean arterial pressure(MAP)levels in group B were lower than those in group A,the differences were statistically significant(P<0.05).At 12 h after surgery,the visual analogue scale(VAS)score of group B was lower than that of group A,and the Bruggrmann comfort scale(BCS)score of group B was higher than that of group A,with statistical significances(P<0.05).The recovery time of gastrointestinal function in group B was shorter than that in group A,and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture and drug combined anesthesia ERAS protocol in laparoscopic radical resection of colorectal cancer can effectively stabilize the hemodynamics of patients,improve postoperative analgesia,improve comfort,accelerate the recovery of gastrointestinal function,and have high safety.

关 键 词：复合麻醉 腹腔镜 结直肠癌 加速康复外科 

分 类 号：R614[医药卫生—麻醉学]