Study on different anesthesia methods for laparoscopic colon cancer surgery in elderly patients
Objective To study the practical value of different anesthesia methods for laparoscopic colon cancer surgery in elderly patients.Methods 58 elderly patients who underwent laparoscopic bowel cancer surgery were selected as the main subjects.They were divided into an observation group and a control group by random number table method,with 29 cases in each group.The control group underwent general anesthesia,and the observation group underwent general anesthesia combined with epidural block anesthesia.The excellent rate of anesthesia,respiratory recovery time,eye opening time,extubation time,agitation,mean arterial pressure(MAP)and heart rate before,during and after pneumoperitoneum were compared between two groups.Results The excellent rate of anesthesia in the observation group was 96.55%,which was higher than 79.31%in the control group,and the difference was significant(P＜0.05).Before pneumoperitoneum,there was no significant difference in MAP between the two groups(P＞0.05).During and after pneumoperitoneum,MAP of the observation group were(84.63±2.05)and(85.05±2.14)mm Hg(1 mm Hg=0.133 kPa),which were lower than(87.62±2.18)and(88.79±2.66)mm Hg of the control group,and the difference was significant(P＜0.05);the blood pressure of the observation group was more stable.Before pneumoperitoneum,there was no significant difference in heart rate between the two groups(P＞0.05).During and after pneumoperitoneum,the heart rate of the observation group were(83.53±2.05)and(78.07±2.11)beats/min,which were lower than(90.12±2.17)and(85.46±2.48)beats/min of the control group,and the difference was significant(P＜0.05);and the intraoperative blood pressure of the observation group was more stable.In the observation group,the respiratory recovery time was(4.25±0.78)min,the eye opening time was(8.87±1.45)min,the extubation time was(14.66±1.38)min,which were shorter than(9.96±1.32),(12.54±1.05)and(20.28±2.46)min in the control group,and the difference was significant(P＜0.05).The incidence of agitation in the observation group was 3.45%,which was lower than the control group's 20.69%,and the difference was significant(P＜0.05).Conclusion General anesthesia combined with epidural anesthesia for elderly patients undergoing laparoscopic bowel cancer surgery is more conducive to improving the excellent rate of anesthesia,maintaining stable intraoperative hemodynamics,and shortening the postoperative wakefulness time and reducing the incidence of restlessness.Therefore,It is worthy of further promotion and application in clinical practice.
General anesthesiaEpidural block anesthesiaElderly patientsLaparoscopic bowel cancer surgeryAnesthesia effect
万方数据
维普
