全麻与连续椎旁神经阻滞联合应用于食管癌根治术中的临床价值分析

Analysis of Clinical Value of General Anesthesia Combined with Continuous Paravertebral Nerve Block in Radical Operation of Esophageal Cancer

目的分析比较全麻与连续椎旁神经阻滞联合应用于食管癌根治术中的临床价值。方法方便选择2017年8月—2018年7月在该院采用食管癌根治术进行治疗的患者100例作为该次的研究对象,通过随机的方法将这100例食管癌患者进行分组,其中对照组(n=50)为采用全身麻醉,而观察组(n=50)在进行全身麻醉的基础上采用连续椎旁神经阻滞联合治疗。比较两组患者通过手术后的出血量、并发症的发生率以及住院时间。结果观察组术后出血量(20.91±5.02)mL明显低于对照组的(40.03±1.09)mL,两者差异有统计学意义(t=8.687,P<0.05)。观察组患者的并发症发生率(4.00%)较对照组患者的并发症发生率(10.00%)低,两者差异有统计学意义(χ^2=9.437,P<0.05);且观察组患者的住院时间(3.93±1.09)d较对照组的住院时间(6.87±2.02)d短,两者差异有统计学意义(t=6.694,P<0.05)。结论全麻与连续椎旁神经阻滞联合应用于食管癌根治术中,可以有效改善患者出血情况,减少并发症的发生,缩短住院时间,减轻患者痛苦,从而保证患者预后良好,提高患者生活质量。

Objective To analyze and compare the clinical value of general anesthesia combined with continuous paravertebral nerve block in radical esophageal cancer surgery.Methods A total of 100 patients who were treated with radical esophageal cancer in the hospital from August 2017 to July 2018 were convenient selected as the subjects of this study.The 100 patients with esophageal cancer were randomly divided into two groups,of which the control group(n=50)was general anesthesia,while observation group(n=50)was treated with continuous paravertebral nerve block combined with general anesthesia.The amount of bleeding,the incidence of complications,and the time of discharge from the two groups were compared.Results The postoperative bleeding volume in the observation group(20.91±5.02)was significantly lower than that in the control group(40.03±1.09)mL,and the difference was statistically significant(t=8.687,P<0.05).The incidence of complications in the observation group(4.00%)was lower than that in the control group(10.00%),and the difference was statistically significant(χ^2=9.437,P<0.05);and the patients in the observation group were discharge time(3.93±1.09)d was shorter than that of the control group(6.87±2.02)d,and the difference was statistically significant(t=6.6942,P<0.05).Conclusion The combined application of general anesthesia and continuous paravertebral nerve block in radical esophageal cancer surgery can effectively improve the bleeding of patients,reduce the occurrence of complications,shorten the length of hospitalization,and reduce the pain of patients,thereby ensuring a good prognosis and improving the quality of life.