全身麻醉复合硬膜外阻滞麻醉在腹腔镜手术治疗老年直肠癌中的临床效果

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Abstract Objective To explore the application effect of general anesthesia combined with epidural anesthesia in laparoscopic surgery for elderly rectal cancer.Methods The clinical data of 108 elderly patients with rectal cancer treated in our hospital from February 2017 to June 2019 were analyzed retrospectively.According to different treatment methods, the patients were divided into control group (54 cases) and study group (54 cases).Patients in the control group received general anesthesia, and in the study group, the patients received general anesthesia combined with epidural anesthesia.The anesthetic effect, heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure(DBP) were compared between the two groups.Results There were no significant differences in HR, SBP and DBP before anesthesia between the two groups (P＞0.05).The HR and SBP during intubation and extubation in the study group were lower than those in the control group, the differences were statistically significant (P＜0.05).There were no significant differences in HR and SBP between the two groups (P＞0.05).The SBP and DBP of the two groups 20 minutes after pneumoperitoneum were higher than those before anesthesia, the differences were statistically significant (P＜0.05).There were no significant differences in SBP and DBP between the two groups 20 min after deflation (P＞0.05).The SBP and DBP of 20 min after pneumoperitoneum in the study group were lower than those in the control group, the differences were statistically significant (P＜0.05).Conclusion General anesthesia combined with epidural anesthesia has a good clinical effect and high safety during radical surgery for rectal cancer.It is worthy of promotion and application in clinic.

Key words： General anesthesia Epidural anesthesia Laparoscope Rectal cancer Clinical efficacy

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	LI Hui

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LI Hui. Clinical effect of general anesthesia combined with epidural anesthesia in laparoscopic surgery for elderly rectal cancer[J]. 中国当代医药, 2020, 27(11): 156-159.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I11/156

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