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目的:研究不同麻醉方法对直肠癌切除手术术中术后的影响,找出直肠癌手术最适合的麻醉方法。方法:选择240例前来我院施行直肠癌手术的患者平均分为两组,对照组120例,采用全身麻醉,实验组120例,采用全身麻醉复合硬膜外麻醉,检测并记录患者手术手血流动力学、呼吸功能以及苏醒时间苏醒质量对麻醉效果进行评价。结果:两组患者气道压(Paw),呼吸末CO2分压(PET-CO2)均有所升高。实验组较对照组血流动力学平稳,苏醒时间及质量都显著优于对照组(P<0.05)。结论:在直肠癌切除手术中全身麻醉复合硬膜外麻醉较单纯全身麻醉具有生命体征较为平稳,苏醒时间短质量高等优点,适合广泛应用于临床中。
Objective: To study the effect of different methods of anesthesia on the operation of resection of rectal cancer and to find the most suitable method of anesthesia for rectal cancer surgery. Methods: A total of 240 cases of rectal cancer patients who were admitted to our hospital were randomly divided into two groups. The control group received 120 cases of general anesthesia and the experimental group of 120 cases received general anesthesia combined with epidural anesthesia to detect and record the patients’ Hemodynamics, respiratory function, and wake-up time wake-up quality evaluated the effects of anesthesia. Results: The airway pressure (Paw) and end-tidal CO2 partial pressure (PET-CO2) increased in both groups. Compared with the control group, the hemodynamics of the experimental group was stable and the recovery time and quality were significantly better than the control group (P <0.05). Conclusion: Compared with simple general anesthesia, general anesthesia combined with epidural anesthesia in the resection of rectal cancer has the advantages of stable vital signs, short recovery time and high quality, which is suitable for clinical application.