摘要
目的:探讨胃癌患者手术时不同麻醉方式和术后不同镇痛方式对下呼吸道感染的影响.方法:选取2013-01/2015-01我院收治的胃癌患者120例,采用随机数字法将其分为A、B、C、D四组,每组30例,分别采用单纯全麻醉以及术后静脉自控镇痛、单纯全麻醉以及术后硬膜外自控镇痛、硬膜外复合全身麻醉以及术后静脉自控镇痛和硬膜外复合全身麻醉以及术后硬膜外自控镇痛,比较四组下呼吸道感染情况.结果:A组、B组、C组和D组患者术后下呼吸道感染率分别为33.3%、26.7%、13.3%和6.7%,D组的感染率明显低于A组、B组、C组,C组明显低于A组、B组,B组明显低于A组,组间比较具有统计学意义(P<0.05).结论:胃癌患者手术时采用硬膜外复合全身麻醉以及术后硬膜外自控镇痛可有效降低下呼吸道发生感染的概率.
AIM： To investigate the influence of different anesthesia methods and postoperative analgesia methods on lower respiratory tract infection in patients with gastric cancer. METHODS： A total of 120 patients with gastric cancer admitted into our hospital from January 2013 to January 2015,were randomly divided into four groups,and they were A,B,C,D,with 30 cases in each group. Four groups,A,B,C,D,were treated with simple anesthesia and postoperative intravenous analgesia,simple anesthesia and postoperative epidural analgesia,epidural anesthesia combined with simple anesthesia and postoperative intravenous analgesia,epidural anesthesia combined with simple anesthesia and postoperative epidural analgesia respectively. RESULTS：The lower respiratory tract infection rate in Group A,Group B,Group C and Group D were 33. 3%,13. 3%,26. 7% and 6. 7%respectively. The infection rate of Group D was significantly lower than that in Group A,B,C,and the infection rate of Group C was significantly lower than that in Group A and B,and the infection rate of Group B was significantly lower than that in Group A,with statistically significant difference（ P〈0. 05）. CONCLUSION： The epidural anesthesia combined with simple anesthesia and postoperative epidural analgesia can effectively reduce the incidence of infection in patients with gastric cancer.
出处
《转化医学电子杂志》
2015年第11期56-57,共2页
E-Journal of Translational Medicine
关键词
胃癌
麻醉方式
镇痛方式
下呼吸道感染
gastric cancer
anesthesia
analgesia
lower respiratory tract infection
