摘要
目的探究对胃癌根治术患者实施不同麻醉方式对其早期康复产生的影响.方法选取150例在2017年2月—2019年6月该院进行胃癌根治术的患者,按随机分组原则分为观察组(全麻联合硬膜外阻滞麻醉)和对照组(单纯全身麻醉)各75例.结果麻醉前,两组平均动脉压、舒张压、收缩压、心率水平差异无统计学意义(P>0.05),麻醉后,观察组的平均动脉压、舒张压、收缩压、心率水平均优于对照组,差异有统计学意义(P<0.05);与对照组(18.67%)相比,观察组不良反应发生率(6.67%)较低,差异有统计学意义(P<0.05).结论与单纯全身麻醉相比,对胃癌根治术患者实施全麻联合硬膜外阻滞麻醉后,能够对患者血压、心率水平进行有效维持,降低不良反应发生率,其具有较高的安全性和可靠性.
Objective To investigate the effect of different anesthesia methods on early rehabilitation of patients with radical gastric cancer.Methods 150 patients who underwent radical gastrectomy in our hospital from February 2017 to June 2019 were divided into observation group(general anesthesia combined with epidural anesthesia)and control group(general general anesthesia)according to the principle of random grouping.)75 people each.Results Before anesthesia,there was no significant difference in the mean arterial pressure,diastolic blood pressure,systolic blood pressure,and heart rate between the two groups,the difference was not statistically significant(P>0.05).After anesthesia,the average arterial blood pressure,diastolic blood pressure,systolic blood pressure,and heart rate of the observation group Better than the control group,the difference was statistically significant(P<0.05);compared with the control group(18.67%),the incidence of adverse reactions in the observation group(6.67%)was lower,the difference was statistically significant(P<0.05).Conclusion Compared with general anesthesia,general anesthesia combined with epidural anesthesia can effectively maintain the blood pressure and heart rate of patients and reduce the incidence of adverse reactions.And reliability.
作者
周雷
ZHOU Lei(Department of Anesthesiology,Chengyang District Third People's Hospital of Qingdao,Qingdao Shandong,266107,China)
出处
《反射疗法与康复医学》
2020年第8期6-7,10,共3页
Reflexology And Rehabilitation Medicine
关键词
全身麻醉
硬膜外阻滞麻醉
胃癌根治术
早期康复
General anesthesia
Epidural anesthesia
Radical gastric cancer surgery
Rarly rehabilitation
