不同麻醉方式对直肠癌根治术患者苏醒质量及术后镇痛效果的影响

Influence of Different Anesthesia Modes on Emergence Quality and Postoperative Analgesia Efficacy of the Patients Undergoing Radical Surgery for Rectal Cancer

为探讨不同麻醉方式对直肠癌根治术患者苏醒质量及术后镇痛效果的影响,回顾性分析2017年1月至2019年12月我院行直肠癌根治术患者60例临床资料,根据麻醉方式的不同分为A组和B组,每组30例。A组患者采用全身麻醉,B组患者采用区域神经阻滞麻醉联合全身麻醉,比较2组患者苏醒质量、术后镇痛效果及不良反应发生率。结果显示,B组患者苏醒时间和麻醉完全恢复时间均短于A组(P <0.05);B组患者术后6h、12h、24h时疼痛视觉模拟评分(VAS)均低于A组(P <0.05);手术结束后24h内不良反应发生率比较,B组(3.33%,1/30)低于A组(26.67%,8/30),差异具有统计学意义(P<0.05)。结果表明,区域神经阻滞麻醉联合全身麻醉用于直肠癌根治术患者中效果较好,能获得较好的苏醒质量及术后镇痛效果,且能有效降低不良反应发生率。

This study was to investigate the influence of different anesthesia modes on emergence quality and postoperative analgesia efficacy of the patients undergoing radical surgery for rectal cancer,reviewed the clinical data of 60 cases who had received radical surgery for their rectal cancer in authors’ hospital(2017-01-2019-12),acccording the anesthesia mode divided the 60 cases into group A(30 cases,adopted systemic anesthesia)and group B(30 cases,systemic anesthesia combined with regional neural block anesthesia);then,compared both group’s emergence quality,postoperative analgesia efficacy and untoward reaction incidence.As results,in the time for emergence,and for anethesia completely recovered,in VAS rating on pain at 6,12 and 12 hrs after surgery,and in untoward reaction incidence within 24 hrs after operating end group B was respectively shorter,lower and lower(3.33%,1/30 vs 26.67%,8/30)than group A(all,P<0.05).Results show that regional neural block anesthesia combined with systemic one has better efficacy than alone systemic one,i.e can achieve better emergence quality and postoperative analgesia efficacy,also decline untoward reaction incidence.