Application of General Anesthesia Combined with Epidural Anesthesia in Patients With Rectal Cancer Opera-tion
Objective To explore the effectiveness of general anesthesia combined with epidural anesthe-sia in rectal cancer operation.Methods Total 84 patients with rectal cancer operation were randomly di-vided into group A and group B,with 42 cases in each group.Group A patients were treated with general anesthesia combined with epidural anesthesia,and group B patients were treated with general anesthesia.The patients were followed up for 2 weeks after operation and the intervention effect was observed.The operation situation,postoperative complications,heart rate and mean arterial pressure levels in different op-eration periods of patients in the two groups were recorded.The prognosis of patients was evaluated by in-telligence(MMSE)score and cognitive(MoCA)score.Results The postoperative eye opening time,postoperative respiratory recovery time,postoperative extubation time and postoperative response time of group A were shorter than those of group B(P＜0.05).There was no postoperative complication in group A.In group B,total 8 patients had postoperative complications(19.05％).and the difference between the two groups was statistically significant(P＜0.05).Ten minutes before anesthesia,there was no sig-nificant difference in heart rate and mean arterial pressure between the two groups(P＞0.05).During in-tubation,incision,extubation,the heart rate and mean arterial pressure of group A were lower than those of group B(P＜0.05).There was no significant difference in MMSE score and MoCA score between the two groups before operation(P＞0.05).After operation,the scores of group A were better than those of group B(P＜0.05).Conclusion General anesthesia combined with epidural anesthesia can stabilize the hemodynamic state of patients with rectal cancer operation,reduce the incidence of postoperative complica-tions,and promote postoperative recovery,which is worthy of clinical promotion and application.
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