联合腰麻硬膜外麻醉在直肠癌根治术的应用

Application of combined spinal and epidural anesthesia on patients undergoing rectocancertomy

目的 探讨腰 -硬联合麻醉 (CSEA)用于直肠癌根治术的效果。方法 80例直肠癌根治术病人随机分成CSEA组 (n =40 )和持续硬膜外阻滞组 (CEA组 ,n =40 ) ,观察两组病人的麻醉起效时间、麻醉效果、局麻药用量以及对循环影响和术后并发症情况。结果 CSEA组较CEA组麻醉起效时间快 ,麻醉效果满意度高 ,硬膜外用药量小 ,两组对循环影响无明显差异 ,CSEA组 1例术后出现轻微头痛 ,自行缓解 ,无其它严重并发症。结论 CSEA用于直肠癌根治术麻醉效果完善 ,并发症发生率低 。

Objective To evaluate the anesthesia effect of combined spinal and epidural anesthesia on patients undergoing rectocancertomy.Methods 80 cases ASA grade Ⅰ to Ⅱ patients undergoing selective rectocancertomy were randomized to two groups:combined spinal and epidural anesthesia group (CSEA,n=40) and continuous epidural anesthesia group (CEA,n=40).Compared anesthesia onset,anesthesia efect,volumes of local anesthetic from epidural block,effect of hemodynamics during operation and complication of CSEA with CEA.Results CSEA group had advantages such as short time of taking effect,anesthesia effect was more excellent and small volumes of local anesthetic for epidural block than CEA group,and parameter of hemodynamics of the two groups were no difference statistically,all patients had no serious complication.Conclusions CSEA is effective and lower complication for patients undergoing rectocancertomy,and which is worthy of wide use.