不同麻醉方式应用于腹腔镜手术治疗老年直肠癌患者的效果

The Effect of Different Anesthesia Methods on Laparoscopic Surgery for Elderly Patients With Rectal Cancer

目的探索不同麻醉方式应用于腹腔镜手术治疗老年直肠癌患者的效果。方法选取2016年3月12日—2017年3月12日我院腹腔镜手术治疗老年直肠癌患者100例作为研究对象,采用抽签化分组,每组各50例患者。对照组和观察组分别采用全身麻醉和全身麻醉加硬膜外麻醉。结果观察组麻醉中Ramsey评分(3.45±0.12)分,麻醉后Ramsey评分(2.86±0.25)分,睁眼时间(2.54±1.17)min,睫毛反射消失时间(48.74±3.16)s,痛觉消失时间(68.69±5.38)s,并发症发生率(4.00%)均优于对照组,差异均具有统计学意义(P<0.05)。结论对腹腔镜手术治疗老年直肠癌患者实施全身麻醉加硬膜外麻醉效果显著。

Objective To explore the efect of diferent anesthesia applied to laparoscopic surgery in elderly patients with rectal cancer. Methods From March 12, 2016 to March 12, 2017, 100 cases of elderly patients with rectal cancer were treated by laparoscopy in our hospital. They were divided into two groups, 50 patients in each group. The control group and the observation group were anesthetized with general anesthesia and general anesthesia and epidural anesthesia respectively. Results The observation group anesthesia Ramsey score （3.45±0.12） points, Ramsey after anesthesia score （2.86±0.25） points, eye opening time （2.54±1.17） min, eyelash reflex time （48.74±3.16） s, the pain disappeared time （68.69±5.38） s, the complication rate （4.00%） were superior to the control group differences were statistically signifcant （P 〈 0.05）. Conclusion There are signifcant efects of general anesthesia and epidural anesthesia on laparoscopic surgery in elderly patients with rectal cancer.