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目的探讨两种麻醉方法在快速康复外科腹腔镜下结直肠癌手术患者中的实际应用效果。方法108例结直肠癌患者,随机分硬膜外复合全麻(复合组)和传统的单纯静脉全麻组(单纯组)。记录患者全麻用药总量,术后清醒,拔管时间及清醒质量,镇痛效果,患者下床活动时间,恶心、呕吐发生率。结果复合组与单纯组比较:全麻用药量少(P<0.05),清醒拔管时间短(P<0.05),清醒质量优,镇痛效果更佳,恶心呕吐率低。结论硬膜外复合全麻用于快速康复外科腹腔镜下结直肠癌手术能减少全麻药的用量,有利于患者术后快速苏醒,而术后硬膜外镇痛更能减少阿片类镇痛药的应用,术后全麻药副作用减少,有利于患者尽早下床活动,加速患者康复,缩短住院时间,节约住院费用,是快速康复外科理念不可缺少的部分。
Objective To investigate the practical application effect of two anesthesia methods in patients undergoing rapid rehabilitation of surgical laparoscopic colorectal cancer surgery. Methods One hundred and eighty patients with colorectal cancer were randomly divided into epidural combined general anesthesia (compound group) and traditional simple intravenous anesthesia group (simple group). The total amount of general anesthesia, postoperative sober, extubation time and awake quality, analgesic effect, time to bed ambulation, nausea and vomiting were recorded. Results Compared with the simple group, the combined group had less dosage of general anesthesia (P <0.05), shorter extubation time (P <0.05), better awake quality, better analgesic effect and lower nausea and vomiting rate. Conclusion The application of epidural general anesthesia for rapid rehabilitation of surgical laparoscopic colorectal cancer surgery can reduce the dosage of general anesthesia, is conducive to rapid recovery after surgery, and postoperative epidural analgesia can reduce opioid analgesics Of the application of postoperative anesthesia side effects to reduce, help patients get out of bed as soon as possible, accelerate patient rehabilitation, reduce hospitalization time, save hospitalization costs, is an indispensable part of rapid recovery of surgical concept.