腹膜后肿瘤患者手术麻醉治疗的临床方法及可行性分析

The clinical method and feasibility analysis of anesthesia for patients with retroperitoneal tumor

目的:分析腹膜后肿瘤的手术麻醉具体方法与可行性。方法:患者手术时间界定在2018年9月至2020年9月,共计腹膜后肿瘤患者97例。以随机法为准,A组49例,予以气管插管全麻;B组48例,予以硬膜外麻醉,对比麻醉效果与可行性。结果:A组的躁动评分低于B组;麻醉5 min后(T2)与术毕(T3)时,A组的血流动力学指标均优于B组;消化系统反应几率低于B组(P<0.05)。结论:为腹膜后肿瘤患者实行气管插管全麻能够保证减少躁动,维持血液动力学相对稳定,不对消化系统造成严重干扰。

Objective:To analyze the specific methods and feasibility of anesthesia for retroperitoneal tumor surgery.Methods:97 patients with retroperitoneal tumor were selected from September 2018 to September 2020.According to the randommethod,49 cases were included in group A for general anesthesia with tracheal intubation;48 cases were included in group B for epidural anesthesia,and the anesthetic effect and feasibility were compared.Results:The agitation score of group A was lower than that of group B;5 minutes after anesthesia(T2)and after operation(T3),the hemodynamic indexes of group A were better than those of group B;the probability of digestive system reaction was lower than that of group B(P<0.05)).Conclusion:General anesthesia with tracheal intubation for patients with retroperitoneal tumors can ensure that restlessness is reduced,hemodynamics are relatively stable,and the digestive system is not severely disturbed.