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目的:探讨改良快速顺序诱导用于快速康复外科全麻患者的临床效果。方法:随机选择我院2015年1月1日至2015年12月31日胃肠外科行腹腔镜下胃癌根治手术患者共计100例,随机分为观察组和对照组各50例,分别行改良快速顺序诱导和经典快速顺序诱导。并比较术前基本情况、术中情况、术后情况及免疫相关指标。结果:两组患者手术时间、手术方式、肿瘤分期方面分析比较,差异无统计学意义(P>0.05);观察组术中出血量及补液量均少于对照组,差异具有统计学意义(P<0.05)。观察组术后排气时间、排便时间、住院时间、进食时间均明显早于对照组,差异具有统计学意义(P<0.05)。术前、术后1日、术后3日、出院前,Ig G差异均具有统计学意义(P<0.05)。结论:改良快速顺序诱导用于快速康复外科全麻患者可加速患者术后的恢复,提升术后免疫力。
Objective: To explore the clinical effect of modified rapid sequence induction in rapid general anesthesia surgery. Methods: A total of 100 patients undergoing laparoscopic radical gastrectomy for gastric surgery in our hospital from January 1, 2015 to December 31, 2015 were randomly selected and randomly divided into observation group and control group, with 50 cases being improved rapidly Sequence induction and classical rapid sequence induction. And compared the basic situation before surgery, intraoperative conditions, postoperative conditions and immune-related indicators. Results: There was no significant difference between the two groups in the operation time, operation method and tumor staging (P> 0.05). The intraoperative blood loss and fluid volume in the observation group were less than those in the control group (P <0.05). The postoperative exhaust time, defecation time, hospitalization time and eating time in the observation group were significantly earlier than those in the control group, with statistical significance (P <0.05). Preoperative, postoperative 1 day, postoperative 3 days, before discharge, Ig G differences were statistically significant (P <0.05). Conclusion: The improved rapid sequence induction for rapid rehabilitation of patients with general anesthesia can speed up the recovery of patients after surgery to enhance postoperative immunity.