全麻复合硬膜外阻滞麻醉对行腹腔镜结直肠癌根治术患者血流动力学指标及苏醒质量的影响OA
Effect of General Anesthesia Combined with Epidural Anesthesia on Hemodynamic Indexes and Recovery Quality in Patients Undergoing Laparoscopic Radical Resection of Colorectal Cancer
目的 探讨全麻复合硬膜外阻滞(EB)麻醉在行腹腔镜结直肠癌根治术(LRRCC)患者中的麻醉效果,重点分析该联合麻醉方案对血流动力学指标及苏醒质量的影响.方法 按随机数字表法将于我院行 LRRCC 的 88 例患者分为两组,各44例.对照组采用全麻,于全麻基础上,观察组复合 EB麻醉.比较两组血流动力学指标[平均动脉压(MAP)及心率(HR)]、苏醒质量及不良反应.结果 较对照组,观察组采用全麻复合 EB麻醉 T1、T2 时MAP 及 HR更低,苏醒时间及拔管时间更短,不良反应总发生率更低,差异有统计学意义(P<0.05).结论 LRRCC 术中采用全麻复合 EB 麻醉利于稳定患者血流动力学,提高患者苏醒质量,缩短苏醒与拔管时间,且不良反应少.
Objective To investigate the anesthetic effect of general anesthesia combined with epidural block(EB)anesthesia in patients undergoing laparoscopic radical resection of colorectal cancer(lrrcc),focusing on the impact of the combined anesthesia scheme on hemodynamic indexes and recovery quality.Methods 88 patients with lrrcc in our hospital were randomly divided into two groups,with 44 cases in each group from.The control group was given general anesthesia.On the basis of general anesthesia,the observation group was given EB anesthesia.Hemodynamic parameters[mean arterial pressure(map)and heart rate(HR)],recovery quality and adverse reactions were compared between the two groups.Results compared with the control group,the map and HR of the observation group with general anesthesia combined with EB anesthesia at T1 and T2 were lower,the recovery time and extubation time were shorter,and the total incidence of adverse reactions was lower,with statistical difference(P<0.05).Conclusion the use of general anesthesia combined with EB anesthesia during lrrcc operation is conducive to stabilizing the hemodynamics of patients,improving the quality of recovery,shortening the time of recovery and extubation,and has less adverse reactions.
刘伟;陈卫飞;陈佳
萍乡赣西肿瘤医院麻醉科,江西 萍乡 337099萍乡赣西肿瘤医院麻醉科,江西 萍乡 337099萍乡赣西医院麻醉科,江西 萍乡 337099
医药卫生
腹腔镜结直肠癌根治术全麻硬膜外阻滞血流动力学指标苏醒质量
laparoscopic radical resection of colorectal cancerGeneral anesthesiaEpidural blockHemodynamic parametersAwakening quality
《哈尔滨医药》 2026 (2)
22-24,3
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