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腹横肌平面阻滞联合全身麻醉对老年结直肠癌根治术患者镇痛、应激水平及T细胞亚群的影响 被引量:4

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摘要 目的探讨腹横肌平面阻滞联合全身麻醉对老年结直肠癌根治术患者镇痛、应激水平及T细胞亚群的影响。方法选取2016年1月-2019年1月本院收治的70例老年结直肠癌根治术患者作为研究对象,随机分为观察组和对照组两组,每组各35例。对照组采用全身麻醉,观察组采用腹横肌平面阻滞联合全身麻醉。对比两组术中的全麻药物用量、麻醉持续时间、苏醒时间和气管插管时间;对比两组的VAS评分、应激指标和T细胞亚群。结果观察组术中丙泊酚、舒芬太尼的用量,苏醒时间以及气管插管时间显著少于对照组(P<0.05);两组麻醉持续时间没有显著的统计学差异(P>0.05);观察组术后12 h、24h、48 h的VAS评分显著低于对照组(P<0.05);两组术后的皮质醇(Cor)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平显著高于术前(P<0.05);观察组术后的血糖、Cor、IL-6、TNF-α水平显著低于对照组(P<0.05);观察组术后48 h的CD4^+、CD8^+、CD4^+/CD8^+水平与术前没有显著的统计学差异(P>0.05);观察组术后24 h、48 h的CD4^+、CD4^+/CD8^+水平显著高于对照组(P<0.05)。结论腹横肌平面阻滞联合全身麻醉可显著提高老年结直肠癌根治术的镇痛效果,减轻术后的应激反应,改善术后的免疫功能。
出处 《齐齐哈尔医学院学报》 2019年第23期2909-2912,共4页 Journal of Qiqihar Medical University
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