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腹腔镜直肠癌根治术不同麻醉方法的对比研究

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摘要 目的:探析腹腔镜直肠癌根治术不同麻醉方式的应用情况。方法:选取我院接收的行腹腔镜直肠癌根治术68例患者为研究对象,随机分设研究组和对照组两组,每组34例。予以对照组全身麻醉,予以研究组硬膜外麻醉复合全身麻醉。比较观察应用不同麻醉后取得的麻醉效果情况。结果:在气腹后半小时、拔管后5分钟及拔管后2小时等时段,研究组患者的MAP、HR水平情况,以及NE、E和Cor水平情况均低于对照组(P<0.05)。结论:对行腹腔性直肠癌根治术患者予以硬膜外联合全身麻醉,既能稳定患者的血流动力学,而且还能使应激反应情况得到改善。 Objective:To investigate the application of different anesthesia methods in laparoscopic radical resection of rectal cancer.Methods:68 patients received radical laparoscopic rectal cancer surgery in our hospital were selected as study subjects.34 patients were rand omly divided into study group and control group.General anesthesia was given to the control group and general anesthesia was given to the study group.To observe the effect of different anesthesia.Results:The levels of MAP,HR,NE,E and Cor were lower than those of control group in half an hour,5 minutes and 2 minutes(P 0.05).Conclusion:The epidural anesthesia combined with radical resection of abdominal rectal cancer can stabilize hemodynamics and improve stress response.
作者 熊高才
出处 《湖南中医药大学学报》 CAS 2018年第A01期862-862,共1页 Journal of Hunan University of Chinese Medicine
关键词 硬膜外复合麻醉 全身麻醉 腹腔镜直肠癌根治术 epidural anesthesia General anesthesia Laparoscopic radical operation for rectal cancer
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  • 1胡志向,高玉亮,韩希文,刘桂秀,葛秀娟,李梦良,徐建,肖古华.腹腔镜直肠癌根治术不同麻醉方法对应激反应的影响[J].腹腔镜外科杂志,2007,12(5):438-440. 被引量:19
  • 2Mukhtar K, Singh S. Transversus abdominis plane block for laparoscopic surgery. Br J Anaesth,2009,102(1) : 143-144.
  • 3McDonnell JG, Curley G, Carney J, et al. The analgesic effi- cacy of transversus abdominis plane block after cesarean de- livery: a randomized controlled trial. Anesth Analg, 2008, 106(1) : 186-191.
  • 4McDonnell JG, O'Donnell B, Curley G, et al. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg, 2007,104(1) : 193-197.
  • 5McDonnell JG, Laffey JG. Transversus abdominis plane block. Anesth Analg, 2007,105 (3) : 883.
  • 6Wu Y, Liu F, Tang H, et al. The analgesic efficacy of sub- costal transversus abdominis plane block compared with tho- racic epidural analgesia and intravenous opioid analgesia after radical gastrectomy. Anesth Analg, 2013, 117(2):507-513.
  • 7Walter CJ, Maxwell-Armstrong C, Pinkney TD, et al. A randomised controlled trial of the efficacy of ultrasound- guided transversus abdominis plane (TAP) block in laparo- scopic colorectal surgery. Surg Endosc, 2013, 27 (7): 2366-2372.
  • 8Niraj G, Kelkar A, Hart E, et al. Comparison of analgesic efficacy of four-quadrant transversus abdominis plane (TAP) block and continuous posterior TAP analgesia with epidural analgesia in patients undergoing laparoscopic eolorectal sur- gery: an open-label, randomized, non-inferiority trial. An- aesthesia, 2014, 69(4):348-355.
  • 9McDonnell JG, O'Donnell BD, Farrell T, et al. Transversus abdominis plane block: a cadaveric and radiological evaluation. Reg Anesth Pain Med,2007,32(5) :399-404.
  • 10Golmohammadi R, Namazi MJ, Nikbakht M, et al. Characterization and prognostic value of mutations in exons 5 and 6 of the p53 gene in patients with colorectal cancers in central Iran[J]. Gut Liver,2013,7(3):295-302.

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