首页|丙泊酚与瑞芬太尼复合麻醉在结肠癌手术中对患者生命体征、应激及免疫功能的影响分析

丙泊酚与瑞芬太尼复合麻醉在结肠癌手术中对患者生命体征、应激及免疫功能的影响分析

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目的 探讨丙泊酚与瑞芬太尼复合麻醉在结肠癌手术中对患者生命体征、应激反应及免疫功能的影响.方法 回顾性选取2021年1月—2023年12月于包头市肿瘤医院接受手术治疗的80例结肠癌患者的临床资料,根据患者接受的麻醉方式不同,分为常规组和探究组,每组40例.常规组应用七氟烷复合丙泊酚静吸复合麻醉,探究组采用丙泊酚与瑞芬太尼复合麻醉.对比两组的生命体征、应激水平、免疫功能和不良反应发生情况.结果 麻醉后,探究组生命体征水平较常规组更稳定,应激水平、免疫功能均优于常规组,差异有统计学意义(P均<0.05).探究组不良反应发生率为7.50%(3/40)低于常规组的25.00%(10/40),差异有统计学意义(χ2=4.501,P<0.05).结论 丙泊酚与瑞芬太尼复合麻醉在结肠癌手术中应用,能够更有效地稳定患者的生命体征,降低应激反应,并且对免疫功能的负面影响更小,同时减少了不良反应的发生率.
Analysis of the Effects of Propofol and Remifentanil Combined Anesthesia on Vital Signs,Stress and Immune Function in Patients Undergoing Colon Cancer Surgery
Objective To investigate the effects of propofol and remifentanil combined anesthesia on vital signs,stress response and immune function in patients undergoing colon cancer surgery.Methods The clinical data of 80 patients with colon cancer who underwent surgical treatment in Baotou Cancer Hospital from January 2021 to December 2023 were retrospectively selected.According to the different anesthesia methods received by the patients,they were di-vided into routine group and study group,with 40 cases in each group.The routine group was treated with sevoflurane combined with propofol intravenous inhalation anesthesia,and the study group was treated with propofol and remifent-anil combined anesthesia.The vital signs,stress level,immune function and adverse reactions of the two groups were compared.Results After anesthesia,the vital signs of the study group were more stable than those of the routine group,and the stress level and immune function were better than those of the routine group(all P<0.05).The incidence of ad-verse reactions in the study group was 7.50%(3/40),which was lower than that in the routine group 25.00%(10/40),and the difference was statistically significant(χ2=4.501,P<0.05).Conclusion The application of propofol and remi-fentanil combined anesthesia in colon cancer surgery can more effectively stabilize the vital signs of patients,reduce stress response,and have less negative impact on immune function,and reduce the incidence of adverse reactions.

PropofolRemifentanilCombined anesthesiaColon cancer surgeryVital signsStress responseImmune function

赵树郁、包玉龙

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内蒙古医科大学基础医学院,内蒙古 呼和浩特 010110

包头市肿瘤医院麻醉科,内蒙古 包头 014000

丙泊酚 瑞芬太尼 复合麻醉 结肠癌手术 生命体征 应激反应 免疫功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(31)