【摘要】 目的研究不同麻醉方式应用于腹腔镜手术治疗老年直肠癌患者的作用。方法选取的研究对象为2014年10月~2016年10月期间在我院进行治疗的老年直肠癌患者,将120例患者按照麻醉方式分为对照组(全身麻醉)、观察组(全身麻醉联合硬膜外麻醉),60例每组。对比两组老年直肠癌患者的血压水平、并发症发生率以及全麻药物的使用情况。结果比较血压水平,在麻醉前检查和放气后20min两组对比无统计学意义,两组在气腹后10、60min时比较差异有统计学意义(P<0.05),观察组患者的并发症发生率明显比对照组低(P<0.05),术中全麻药物的使用量少于对照组(P<0.05)。结论在使用腹腔镜手术治疗老年直肠癌患者中,全身麻醉联合硬膜外麻醉较单一使用全身麻醉而言最为安全有效,适合在临床上推广使用。更多还原

【Abstract】 Objective To study the role of different anesthesia methods in laparoscopic surgery for elderly patients with rectal cancer. Methods Elderly patients with rectal cancer treated in our hospital from October 2014 to October 2016 were selected as the study object.120 patients were divided into control group(general anesthesia) and observation group(general anesthesia combined with epidural anesthesia) according to the mode of anesthesia,60 cases in each group.Blood pressure level,complication rate and the use of general anesthesia drugs in elderly patients with rectal cancer of the two groups were compared. Results Comparing the blood pressure levels,there was no statistical significance between the two groups of 20 min before and after anesthesia.There was significant difference between the two groups after 10 min and 60 min after pneumoperitoneum(P < 0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P< 0.05).The amount of drug used in general anesthesia was less than that in control group(P < 0.05). Conclusion In laparoscopic surgery for elderly patients with rectal cancer,general anesthesia combined with epidural anesthesia is more safe and effective than single use of general anesthesia,and it is suitable for clinical use.更多还原