Application of general anesthesia combined with regional nerve block in patients with colorectal cancer undergoing laparoscopic surgery
GAO Jing-bin1 GUO Ying2 LI Dong-wei2▲
1.Department of Anesthesiology,the First People′s Hospital of Shaoguan City,Guangdong Province,Shaoguan 512000,China;2.Department of Instrument Testing,the First People′s Hospital of Shaoguan City,Shaoguan 512000,China
Abstract:Objective To explore the application effect of general anesthesia combined with regional nerve block in patients with colorectal cancer undergoing laparoscopic surgery.Methods All of 90 patients with colorectal cancer scheduled for laparoscopic colorectal cancer surgery diagnosed and treated in department of general surgery of our hospital from February to October 2017 were systematically reviewed.Patients were divided into group A,B,C according to the different anesthesia methods,and there were 30 cases in each group.Group A received simple general anesthesia,group B received general anesthesia combined with epidural block,group C received general anesthesia combined with regional nerve block.The postoperative exhaust time,bed rest time,hospitalization stay,and heart rate (HR)and mean arterial pressure (MAP)at the beginning of anesthesia,during skin incision and skin closure in patients of the three groups were recorded,the postoperative pain score of 6,12,24 h were recorded and compared in all patients.Results The exhaust time,bed rest time and hospitalization stay of group C were significantly shorter than those of group A and group B,and the differences were statistical significant(P<0.05).HR and MAP in patients of group C during skin incision and skin closure were significantly lower than those in group A and group B,and the differences were statistical significant(P<0.05).Conclusion General anesthesia combined with regional nerve block applied in patients with colorectal cancer undergoing laparoscopic surgery can effectively shorten the postoperative recovery time,reduce stress response,relieve surgical pain,the effect is definite.