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目的:分析硬膜外麻醉复合全身麻醉用于直肠癌根治手术中的麻醉效果。方法:选取所在医院2016年6月-2017年3月期间收治的70例直肠癌患者,均实施直肠癌根治术,随机分组,对照组(n=32)采用全身麻醉处理方法,观察组(n=32)给予硬膜外麻醉复合全身麻醉,对比2组患者麻醉效果。结果:观察组低血压、心动过速、恶心呕吐等不良反应发生率(2.86%)低于对照组(22.86%),组间差异显著(P<0.05);观察组VAS疼痛评分、麻醉起效时间、胃肠道功能恢复时间均低于对照组(P<0.05)。结论:硬膜外麻醉复合全身麻醉,临床效果显著,能够提高麻醉处理安全性,对患者安全手术具有重要作用。
Objective: To analyze the anesthetic effects of epidural anesthesia combined with general anesthesia in the radical surgery of rectal cancer. Methods: Seventy patients with rectal cancer who were treated in their hospital from June 2016 to March 2017 were enrolled in this study. All patients underwent rectal cancer radical mastectomy. Patients in control group (n = 32) underwent general anesthesia. The observation group (n = 32) were given epidural anesthesia combined with general anesthesia, compared with two groups of patients anesthetic effect. Results: The incidence of adverse reactions such as hypotension, tachycardia and nausea and vomiting in observation group was significantly lower than that in control group (2.86% vs 22.86%, P <0.05). VAS pain score, anesthesia onset Time, gastrointestinal function recovery time were lower than the control group (P <0.05). Conclusion: Epidural anesthesia combined with general anesthesia has significant clinical effect, which can improve the safety of anesthesia treatment and play an important role in the safety operation of patients.