目的：探讨胃癌根治术使用全身麻醉(全麻)和硬膜外阻滞联合麻醉的临床效果。方法50例行胃癌根治术患者，随机分为A、B组，各25例。A组使用全麻， B组使用全麻联合硬膜外阻滞麻醉。比较两组麻醉情况。结果 B组丙泊酚、芬太尼及阿曲库胺的用量(172±44)、(0.15±0.03)、(57.72±10.10)mg均少于A组的(324±107)、(0.28±0.05)、(75.95±12.90)mg(P<0.01)， B组的拔管时间(10.02±3.17)min短于A组(27.33±5.08)min(P<0.01)。结论胃癌根治术使用全麻联合硬膜外阻滞麻醉效果好，麻醉剂量小，拔管时间短，安全性高。%ObjectiveTo investigate clinical effects by general anesthesia and general anesthesia combined with epidural block applied in radical operation for stomach cancer.MethodsA total of 50 patients receiving radical operation for stomach cancer were randomly divided into group A and group B, with 25 cases in each group. Group A received general anesthesia, and group B received general anesthesia combined with epidural block anesthesia. Anesthetic situation was compared between the two groups.ResultsGroup B had all lower propofol, fentanyl and atracurium dosage as (172±44), (0.15±0.03), (57.72±10.10) mg than (324±107), (0.28±0.05), (75.95±12.90) mg in group A (P<0.01). Group B had shorter extubation time as (10.02±3.17) min than (27.33±5.08) min in group A (P<0.01).ConclusionImplement of general anesthesia combined with epidural block applied in operation for stomach cancer provides good anesthetic effect, low anesthetic concentration, short extubation time and high safety.
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