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目的观察硬膜外麻醉复合全身麻醉在直肠癌根治术中的临床疗效,寻找直肠癌根治手术的最佳麻醉方法。方法选取2015年3月-2016年4月医院收治的直肠癌手术患者60例,随机分成观察组和对照组,每组30例,手术前观察组患者给予硬膜外麻醉复合全身麻醉,对照组患者给予单纯全身麻醉方法。观察2组麻醉效果及不良反应发生率。结果观察组患者麻醉的总有效率为96.67%高于对照组的83.33%。手术后观察组患者不良反应发生率为13.33%低于对照组患者的36.67%,差异均有统计学意义(P<0.05)。结论硬膜外麻醉复合全身麻醉法在直肠癌手术中麻醉的效果显著,且安全有效,值得临床推广使用。
Objective To observe the clinical efficacy of epidural anesthesia combined with general anesthesia in radical resection of rectal cancer and to find out the best anesthetic method for radical surgery of rectal cancer. Methods Sixty patients with rectal cancer who were admitted to our hospital from March 2015 to April 2016 were randomly divided into observation group and control group, 30 cases in each group. The patients in the preoperative observation group were given epidural anesthesia combined with general anesthesia and the control group Patients were given simple general anesthesia. The effects of anesthesia and adverse reactions in the two groups were observed. Results The total effective rate of anesthesia in observation group was 96.67% higher than 83.33% in control group. The incidence of adverse reactions in the observation group after operation was 13.33%, which was significantly lower than that in the control group (36.67%, P <0.05). Conclusion Epidural anesthesia combined with general anesthesia in rectal cancer surgery anesthesia effect is significant, and safe and effective, it is worth promoting the use of the clinic.