中医特色辅助干预对胃癌手术患者麻醉效果影响研究.docVIP

中医特色辅助干预对胃癌手术患者麻醉效果的影响研究 　　【摘要】 目的：探讨中医特色辅助干预复合全身麻醉对胃癌患者麻醉效果的影响。方法：以本院麻醉科100例行胃癌根治术的患者作为研究对象，根据麻醉方式不同将其分为对照组与观察组，每组50例。对照组给予单纯全麻，观察组给予全身麻醉复合中医特色辅助干预，观察两组患者的麻醉效果。结果：观察组的T1 25%、T1 75%、T1 90%、TOF70%、TOF90%时间均明显长于对照组，RI明显大于对照组，差异均有统计学意义（P0.05）。观察组患者的胃肠道功能恢复时间、平均住院天数均明显短于对照组，住院费用明显少于对照组，差异均有统计学意义（t=5.397、4.293、15.382，P0.05）。观察组有2例患者出现并发症（术后恶心呕吐与肺部感染），其并发症发生率4.0%明显低于对照组的22.0%，差异有统计学意义（ 字2=4.382，P0.05）。结论：胃癌患者手术时采用全身麻醉复合中医特色辅助干预，可明显改善患者疼痛情况，提高镇痛效果，减少不良反应，改善预后及生活质量，其临床应用价值高。 　　【关键词】 胃癌； 中医特色； 辅助干预； 全身麻醉； 镇痛效果 　　Study on the Influence of TCM Characteristics Assisted Intervention on Anesthetic Effect of Patients with Gastric Cancer Surgery/SUN Jian-ping.//Medical Innovation of China，2016，13（09）：102-105 　　【Abstract】 Objective：To investigate the effect of TCM characteristics assisted intervention combined with general anesthesia on the analgesia effect of patients with gastric cancer surgery.Method：One hundred gastric cancer patients with gastric cancer radical operation from our hospital were selected as research objects.According to the different ways of anesthesia，all patients were divided into the control group and the observation group，50 cases in each group.The control group received simple general anesthesia，the observation group received general anesthesia combined with TCM characteristics assisted intervention，the anesthesia effect of the two groups were observed.Result：The T1 25%，T1 75%，T1 90%，TOF70% and TOF90% of the observation group were significantly longer than the control group，the RI was significantly larger than the control group，the differences were statistically significant（P 　　【Key words】 Gastric cancer； TCM characteristics； Assistant intervention； General anesthesia； Analgesia effect 　　First-author’s address：Gaomi City Hospital of Traditional Chinese Medicine，Gaomi 261500，China 　　doi：10.3969/j.issn.1674-4985.2016.09.029 　　胃癌是临床常见肿瘤，手术根治术是临床常用治疗方式，手术过程中的麻醉方式通常采用气管插管全身麻醉。手术是一种较为强烈的应激源，它可导致患者内部环境发生紊乱和代谢失衡[1]。术后相当一部分并发症的发生与疼痛相关，例如术后患者因为疼痛不能有效咳嗽和深呼吸，易诱