【摘要】 目的观察连续腰麻复合喉罩全麻在直肠癌根治术中的应用效果。方法选择直肠癌根治术患者40例,按随机数字表法分为连续腰麻复合喉罩全麻组(Ⅰ组)和气管内插管全麻组(Ⅱ组),每组20例。记录两组患者围术期血压(MAP)、心率(HR)、脉搏、血氧饱和度(SpO2),以及麻醉用药量、肌松效果、术后清醒时间及并发症发生率。结果与Ⅱ组相比,Ⅰ组围术期的MAP、HR波动较小,全麻用药量较少、肌松效果好,苏醒时间短(P均<0.05)。Ⅰ组苏醒期躁动、术后咽喉不适发生率明显低于Ⅱ组(P<0.05)。结论连续腰麻复合喉罩全麻下行直肠癌根治术,患者术中血流动力学稳定,麻醉用药量少,肌松效果好,清醒迅速完全。更多还原

【Abstract】 Objective To observe the effect of applying continuous spinal anesthesia combined with laryngeal mask anesthesia to radical surgery for rectal cancer.Methods Forty patients with rectal cancer undergoing radical surgery were randomly divided into two groups(20 cases in each group):the continuous spinal anesthesia combined with laryngeal mask anesthesia group(Group Ⅰ),and the endotracheal intubation group(GroupⅡ).Perioperative mean arterial pressure(MAP),heart rate(HR),pulse,oxygen saturation(SpO2) and anesthetics consumption,muscle relaxation,the awake time and the incidence of postoperative complications in the two groups were recorded.Results Compared with Group Ⅱ,perioperative MAP and HR were lower,anesthetics consumption was less,muscle relaxation effect was better,and the awake time was shorter in Group Ⅰ(all P<0.05).The incidences of restlessness during recovery,and throat discomfort after surgery were lower than those in Group Ⅱ significantly(P<0.05).Conclusion Application of continuous spinal anesthesia combined with laryngeal mask anesthesia to radical surgery for rectal cancer provides better hemodynamics and muscle relaxation,meanwhile may reduce perioperative anesthetics consumption and the awake time significantly.更多还原