本文選題：胃癌根治術(shù)　切入點(diǎn)：硬膜外麻醉　出處：《當(dāng)代醫(yī)藥論叢》2016年18期

【摘要】：目的:試論聯(lián)合進(jìn)行硬膜外麻醉和吸入式全麻對(duì)接受胃癌根治術(shù)的患者術(shù)后蘇醒的影響。方法:對(duì)2013年1月~2015年1月期間在我院進(jìn)行胃癌根治術(shù)的41例患者的臨床資料進(jìn)行回顧性研究。我們將這41例患者隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組,其中實(shí)驗(yàn)組有21例患者,對(duì)照組有20例患者。在這兩組患者進(jìn)行胃癌根治術(shù)時(shí),我院對(duì)對(duì)照組患者進(jìn)行吸入式全麻,對(duì)實(shí)驗(yàn)組患者聯(lián)合進(jìn)行硬膜外麻醉和吸入式全麻。手術(shù)結(jié)束后,比較兩組患者蘇醒時(shí)的MAC值、術(shù)畢至蘇醒的時(shí)間和Steward(蘇醒指數(shù))的評(píng)分。結(jié)果:實(shí)驗(yàn)組患者蘇醒時(shí)的MAC值和Steward的評(píng)分均明顯優(yōu)于對(duì)照組患者,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。實(shí)驗(yàn)組患者術(shù)畢至蘇醒的時(shí)間明顯長(zhǎng)于對(duì)照組患者,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。結(jié)論:對(duì)接受胃癌根治術(shù)的患者聯(lián)合進(jìn)行硬膜外麻醉和吸入式全麻雖然會(huì)延長(zhǎng)其術(shù)畢至蘇醒的時(shí)間,但會(huì)使其身體在蘇醒時(shí)處于較好的狀態(tài),而且對(duì)其神經(jīng)系統(tǒng)的影響較小。因此,接受胃癌根治術(shù)的患者可將聯(lián)合進(jìn)行硬膜外麻醉和吸入式全麻作為首選的麻醉方法。
[Abstract]:Objective: to discuss the effect of combined epidural anesthesia and inhaled general anesthesia on postoperative recovery of patients undergoing radical gastrectomy. Methods: from January 2013 to January 2015, 41 patients underwent radical gastrectomy in our hospital. We randomly divided the 41 patients into experimental group and control group. There were 21 patients in the experimental group and 20 patients in the control group. The patients in the experimental group were given combined epidural anesthesia and inhaled general anesthesia. After the operation, the MAC values of the two groups were compared when they woke up. Results: the MAC and Steward scores of the patients in the experimental group were significantly better than those in the control group. The difference was statistically significant (P 0.05). The time from the end of operation to waking up in the experimental group was significantly longer than that in the control group. Conclusion: the combination of epidural anesthesia and inhaled general anesthesia may prolong the recovery time of patients undergoing radical gastrectomy, but they will be in a better condition when they wake up. Therefore, patients undergoing radical gastrectomy may use combined epidural anesthesia and inhaled general anesthesia as the first choice of anesthesia.
【作者單位】： 福建省腫瘤醫(yī)院麻醉科室;
【分類號(hào)】：R614;R735.2

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