不同麻醉方式应用于腹腔镜手术治疗老年直肠癌患者的作用

Role of different anesthesia methods in laparoscopic surgery for elderly patients with rectal cancer

目的研究不同麻醉方式应用于腹腔镜手术治疗老年直肠癌患者的作用。方法选取的研究对象为2014年10月~2016年10月期间在我院进行治疗的老年直肠癌患者,将120例患者按照麻醉方式分为对照组(全身麻醉)、观察组(全身麻醉联合硬膜外麻醉),60例每组。对比两组老年直肠癌患者的血压水平、并发症发生率以及全麻药物的使用情况。结果比较血压水平,在麻醉前检查和放气后20min两组对比无统计学意义,两组在气腹后10、60min时比较差异有统计学意义(P<0.05),观察组患者的并发症发生率明显比对照组低(P<0.05),术中全麻药物的使用量少于对照组(P<0.05)。结论在使用腹腔镜手术治疗老年直肠癌患者中,全身麻醉联合硬膜外麻醉较单一使用全身麻醉而言最为安全有效,适合在临床上推广使用。

Objective To study the role of different anesthesia methods in laparoscopic surgery for elderly patientswith rectal cancer.Methods Elderly patients with rectal cancer treated in our hospital from October2014toOctober2016were selected as the study object.120patients were divided into control group(general anesthesia)andobservation group(general anesthesia combined with epidural anesthesia)according to the mode of anesthesia,60casesin each group.Blood pressure level,complication rate and the use of general anesthesia drugs in elderly patients withrectal cancer of the two groups were compared.Results Comparing the blood pressure levels,there was no statisticalsignificance between the two groups of20min before and after anesthesia.There was significant difference betweenthe two groups after10min and60min after pneumoperitoneum(P<0.05).The incidence of complications in theobservation group was significantly lower than that in the control group(P<0.05).The amount of drug used in generalanesthesia was less than that in control group(P<0.05).Conclusion In laparoscopic surgery for elderly patientswith rectal cancer,general anesthesia combined with epidural anesthesia is more safe and effective than single use ofgeneral anesthesia,and it is suitable for clinical use.