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| Effect of General Anesthesia Combined with Epidural Anesthesia on Hemodynamic Indexes and Recovery Quality in Patients Undergoing Laparoscopic Radical Resection of Colorectal Cancer |
| Liu Wei, Chen Weifei*, Chen Jia |
1.Department of Anesthesiology,Ganxi Cancer Hospital,Pingxiang,Jiangxi,337099; 2.Anesthesia Department,Jiangxi West Hospital,Pingxiang,Jiangxi 337099 |
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Abstract Objective To investigate the anesthetic effect of general anesthesia combined with epidural block(EB)anesthesia in patients undergoing laparoscopic radical resection of colorectal cancer(lrrcc),focusing on the impact of the combined anesthesia scheme on hemodynamic indexes and recovery quality. Methods 88 patients with lrrcc in our hospital were randomly divided into two groups,with 44 cases in each group from.The control group was given general anesthesia.On the basis of general anesthesia,the observation group was given EB anesthesia.Hemodynamic parameters [mean arterial pressure(map)and heart rate(HR)],recovery quality and adverse reactions were compared between the two groups. Results compared with the control group,the map and HR of the observation group with general anesthesia combined with EB anesthesia at T1 and T2 were lower,the recovery time and extubation time were shorter,and the total incidence of adverse reactions was lower,with statistical difference(P<0.05). Conclusion the use of general anesthesia combined with EB anesthesia during lrrcc operation is conducive to stabilizing the hemodynamics of patients,improving the quality of recovery,shortening the time of recovery and extubation,and has less adverse reactions.
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Received: 15 February 2026
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[1] 王艳丽,王梦迪,何会珍.地佐辛静脉麻醉联合罗哌卡因局部浸润麻醉镇痛对腹腔镜结直肠癌根治术患者镇痛效果及围术期免疫和应激反应影响[J].临床误诊误治,2024,37(4):80-84. [2] 陈庆彬,唐璟,苗壮壮,等.全静脉麻醉与静吸复合麻醉对老年腹腔镜结直肠癌根治术患者肺内分流及氧合功能的影响研究[J].临床消化病杂志,2024,36(5):351-355. [3] 胡燕菲,詹利,郑立东.静脉全身麻醉分别联合硬膜外麻醉与超声引导双侧腹横肌平面对腹腔镜结直肠癌手术患者的影响[J].实用临床医药杂志,2022,26(6):100-104. [4] 成颖,刘明群,梁勇,等.复合罗哌卡因硬膜外阻滞缓解腹腔镜结直肠癌全身麻醉术后疼痛的效果[J].西北药学杂志,2024,39(6):217-222. [5] 中华人民共和国国家卫生健康委员会医政医管局,中华医学会肿瘤学分会.中国结直肠癌诊疗规范(2020年版)[J].中国实用外科杂志,2020,40(6):601-625. [6] 王东,陈健,陈波,等.腹腔镜根治术与传统开腹手术治疗结直肠癌的近期疗效、生活质量及长期生存的对比分析[J].肿瘤预防与治疗,2022,35(2):175-180. [7] 赵玲玲,张燕,吕良策,等.七氟烷-丙泊酚静吸复合全身麻醉下不同二氧化碳气腹压力对行结直肠癌手术老年患者脑氧代谢及应激反应的影响[J].中国医师进修杂志,2023,46(6):525-528. [8] 刘妹女,张梦,何金华,等.老年患者腹腔镜结直肠癌根治术麻醉方法的改良:复合右美托咪定全身麻醉[J].中华麻醉学杂志,2022,42(4):426-429. [9] 陶胥龙,范文君,何巍.全麻复合硬膜外阻滞麻醉对老年结直肠癌患者麻醉效果及苏醒质量的影响[J].北华大学学报(自然科学版),2023,24(6):783-786. [10] 张美峰,武淑芳,苗清华,等.不同麻醉方式对结直肠癌根治术患者围手术期免疫功能及苏醒期质量的影响[J].国际麻醉学与复苏杂志,2022,43(1):45-50. [11] 郭霞,阮定红,任青竹,等.硬膜外镇痛、腹横肌平面阻滞联合全麻在结直肠癌根治术中的应用对比研究[J].中国煤炭工业医学杂志,2022,25(5):531-535. [12] 姚琳,杨帅.硬膜外阻滞联合全身麻醉对老年结直肠癌患者围术期免疫功能及胃肠功能影响的临床研究[J].陕西医学杂志,2022,51(4):449-453. |
| [1] |
. [J]. journal1, 2025, 45(6): 140-141. |
| [2] |
. [J]. journal1, 2023, 43(4): 79-80. |
| [3] |
. [J]. journal1, 2023, 43(4): 134-136. |
| [4] |
. [J]. journal1, 2023, 43(2): 55-57. |
| [5] |
. [J]. journal1, 2023, 43(2): 58-59. |
| [6] |
. [J]. journal1, 2023, 43(2): 63-65. |
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