快速康复食管癌外科麻醉管理分析.docVIP

快速康复食管癌外科麻醉管理分析 　　[摘要] 目的：通过比较静脉全麻与静脉全麻加硬膜外阻滞对食管癌患者术后情况的影响，分析快速康复食管癌外科的麻醉管理。方法：选取年龄在70岁以下，ASA分级Ⅰ～Ⅱ级，无特殊并发症的食管癌手术患者80例，随机分成两组，每组40例，分别采用静脉全麻（对照组）和静脉全麻加硬膜外阻滞（研究组）的方法处理，测定两组患者在手术过程中的循环功能和呼吸功能的变化，麻醉用药量以及麻醉恢复时间的差异。结果：研究组在麻醉诱导前、插管后、切皮后和拔管时平均动脉压[（13.10±1.67） kPa，（12.89±1.22） kPa，（11.08±1.76） kPa，（12.80±1.45） kPa]和心率[（85.82±9.98）次/min，（86.44±9.25）次/min，（72.23±9.78）次/min，（84.19±8.97）次/min]）较对照组的平均动脉压[（12.91±1.28） kPa，（14.83±1.39） kPa，（11.79±1.25） kPa，（12.66±1.28） kPa]和心率[（85.78±9.22）次/min，（98.08±9.10）次/min，（74.82±7.88）次/min，（88.80±1.45）次/min]显著稳定（P 　　[关键词] 静脉全麻；硬膜外阻滞；快速康复；食管癌 　　[中图分类号] R735.1；R614 [文献标识码] A [文章编号] 1673-7210（2011）06（c）-101-03 　　 　　Analysis of the anesthetic management of esophageal cancers rapid rehabilitation surgery 　　GAN Min, ZHANG Feiwen, ZHOU Kecheng 　　Anesthetic Department of Henggang Peoples Hospital, Longgang District in Shenzhen City, Guangdong Province, Shenzhen 518115, China 　　[Abstract] Objective: To analyze the anesthetic management of esophageal cancers rapid rehabilitation surgery through comparing the situations after operations between intravenous anesthesia and epidural block. Methods: 80 patients with esophageal cancer were randomly divided into two groups, and all of them were younger than 70 years old, ASA level Ⅰ～Ⅱ, without any complications. Each group had 40 patients and the two groups were treated with intravenous anesthesia (control group) and epidural block combined with intravenous anesthesia (experiment group) separately. To assay the function of circulatory system and respiratory system; the amount of anesthetic and the time of recovery after operation were compared. Results: It had been found that MAP [(13.10±1.67) kPa, (12.89±1.22) kPa, (11.08±1.76) kPa, (12.80±1.45) kPa] and HR [(85.82±9.98) times/min, (86.44±9.25) times/min, (72.23±9.78) times/min, (84.19±8.97) times/min] of experiment group were more stable than MAP [(12.91±1.28) kPa,(14.83±1.39) kPa, (11.79±1.25) kPa, (12.66±1.28) kPa] and RR [(85.78±9.22) times/min