Laparoscopic colorectal cancer in elderly patients with epidural anesthesia and intravenous analgesia efficacy and the impact on the blood gas.docVIP

 PAGE \* MERGEFORMAT 18 Laparoscopic colorectal cancer in elderly patients with epidural anesthesia and intravenous analgesia efficacy and the impact on the blood gas [Abstract] Objective: To observe in elderly patients after laparoscopic rectal ropivacaine mesylate, fentanyl patient-controlled epidural analgesia (patient controlled epidural analgesia, PCEA) with fentanyl, droperidol vein-controlled town of pain (patient controlled intravenous analgesia, PCIA) the clinical efficacy and effect on the blood gas. Methods: 52 patients with 65 randomly over the age of ASA Ⅰ or Class Ⅱ patients undergoing elective radical rectal cancer were divided into two groups, each group 26 cases, PCEA use Mesylate 0.238% ropivacaine plus 0.0002% fentanyl epidural analgesia , PCIA group use of fentanyl 0.001% plus 0.005% Droperidol analgesia. Observe the analgesic effect, sedation level, comfort score, adverse reactions, continuous monitoring of mean arterial pressure (MAP), heart rate (HR), pulse oxygen saturation (SpO2) and end-tidal carbon dioxide partial pressure (PETCO2), respectively, before anesthesia and after 4,12,24 h without oxygen or in the patient stop taking the case of oxygen 0.5h arterial blood, monitoring pH, PaCO2, and calculate the arterial blood and end-tidal CO2 gradient (Pa  PETCO2) changes. Results: Two patients with visual analog score (visual analogue scale, VAS) were lower, PCIA group was higher than PCEA group, but no significant difference (Pamp;gt; 0.05), PCIA group Ramesay France (RSS) sedation score was significantly higher than PCEA ( P amp;lt;0.05) Brandt scoring (BCS), comfort score was significantly lower than the PCEA group (P amp;lt;0.05), nausea, vomiting, skin itching, etc. The incidence was significantly higher than PCEA group (P amp;lt;0.05), assessment of two groups of patients Overall satisfaction with postoperative pain and excellent PCEA group were significantly higher than PCIA group (P amp;lt;0.05); after pH lower than the preo