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目的 :探讨对进行手术治疗的食管癌患者实施全身麻醉复合硬膜外麻醉的临床效果。方法 :对近年来我院收治的80例食管癌患者的临床资料进行回顾性研究。将这80例患者分为全身麻醉组和复合麻醉组,每组各有40例患者。对两组患者均进行手术治疗。对全身麻醉组患者进行全身麻醉,对复合麻醉组患者进行全身麻醉复合硬膜外麻醉。然后,比较两组患者全麻药的用量及其术后恢复的时间。结果:复合麻醉组患者阿曲库铵、芬太尼及维库溴铵等全麻药的用量均明显少于全身麻醉组患者,差异具有统计学意义(P<0.05)。复合麻醉组患者术后自主呼吸恢复的时间、气管导管拔除的时间和完全清醒的时间均明显短于全身麻醉组患者,差异具有统计学意义(P<0.05)。结论 :对进行手术治疗的食管癌患者实施全身麻醉复合硬膜外麻醉的效果显著,可明显减少其全麻药的用量,缩短其术后恢复的时间。
Objective: To investigate the clinical effect of general anesthesia combined with epidural anesthesia on esophageal cancer patients undergoing surgical treatment. Methods: The clinical data of 80 cases of esophageal cancer treated in our hospital in recent years were retrospectively studied. The 80 patients were divided into general anesthesia group and compound anesthesia group, each with 40 patients. Surgical treatment was performed on both groups of patients. General anesthesia in patients with general anesthesia, anesthesia in patients with composite anesthesia combined epidural anesthesia. Then, the amount of anesthesia and the time of postoperative recovery were compared between the two groups. Results: The doses of total anesthetics such as atracurium, fentanyl and vecuronium in the combined anesthesia group were significantly less than those in the general anesthesia group, the difference was statistically significant (P <0.05). The recovery time of spontaneous respiration, the time of tracheal extubation and the complete awake time in patients in the combined anesthesia group were significantly shorter than those in the general anesthesia group (P <0.05). Conclusion: The effect of general anesthesia combined with epidural anesthesia on esophageal cancer patients undergoing surgery is significant, which can significantly reduce the dosage of general anesthesia and shorten the recovery time after operation.