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目的:比较硬膜外阻滞和局部麻醉+静脉全麻用于微波凝固治疗肝癌的效果。方法:将患者随机分:A组硬膜外阻滞115例。B组局部麻醉+静脉全麻115例,持续观察并记录两组麻醉前、术中1 h、术毕时和术后40 min的血压、心率和脉搏氧饱和度,肝区疼痛行VAS评分。结果:两组患者血压、心率和脉搏氧饱和度差异无统计学意义,而术毕时及术后40 min肝区疼痛VAS评分差异有统计学意义。结论:肝癌微波凝固治疗,二种麻醉方法均适合,但硬膜外阻滞更有优势性。
OBJECTIVE: To compare the efficacy of epidural block and local anesthesia with intravenous general anesthesia in the treatment of liver cancer by microwave coagulation. Methods: The patients were randomly divided into: A group of 115 cases of epidural block. B group, local anesthesia anesthesia + 115 cases of intravenous anesthesia, continuous observation and record before anesthesia, intraoperative 1 h, at the end of surgery and 40 min after the blood pressure, heart rate and pulse oxygen saturation, liver pain VAS score. Results: There were no significant differences in blood pressure, heart rate and pulse oxygen saturation between the two groups. There was significant difference in VAS score between the two groups at 40 min and at 40 min after operation. Conclusion: Microwave coagulation therapy of liver cancer, both anesthesia methods are suitable, but the epidural block more predominant.