采用神经麻醉的清醒结直肠手术的术后效果。

Ayca Tuba Dumanli Ozcan, Serhat Ocakli, Ezgi Erkilic, Yasemin Yalniz, Sadettin Er, Cengiz Ceylan
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引用次数: 0

摘要

研究目的研究设计:准实验研究。研究地点和时间:研究地点和时间:土耳其安卡拉比勒肯特市医院麻醉与复苏科,2022年4月至2023年:研究对象包括 24 名美国麻醉医师协会(ASA)I-II 级患者,年龄在 25-65 岁之间,计划接受结肠癌手术。对所有患者进行术前、手术室和术后观察。第一组计划进行脊髓麻醉,第二组计划进行全身麻醉。脊髓-硬膜外联合麻醉组使用酮洛酚(1:1),脊髓阻滞后拉姆塞镇静评分为 3 分。所有患者均计划进行硬膜外镇痛。收集了患者的年龄、性别、体重、合并症、ASA风险评分、术中血流动力学参数、出血量、胶体、晶体液和血液制品:结果:两组麻醉人员的人口统计学特征无明显差异(P>0.05)。据统计,I 组的出血量低于全身麻醉组(P = 0.004)。各组的口服、引流管拔出、移动、出院时间和费用相似(P >0.05):结论:区域麻醉的应用有助于患者遵从常规的移动、出院程序,并预防腹部手术的并发症,对呼吸参数差、全身状况差、高龄合并症高发的患者围手术期有积极作用:关键词: 区域麻醉、脊髓硬膜外麻醉、移动、疼痛、结肠癌。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postoperative Outcomes of the Awake Colorectal Surgery with Neuraxial Anaesthesia.

Objective: To determine the outcome of awake surgery with combined spinal epidural in geriatric colon cancer patients with advanced comorbidity.

Study design: Quasi-experimental study. Place and Duration of the Study: Department of Anaesthesiology and Reanimation, Ankara Bilkent City Hospital, Ankara, Turkiye, from April 2022 to 2023.

Methodology: Twenty-four American Society of Anaesthesiologists (ASA) I-II patients, aged 25-65 years and scheduled for colon cancer surgery were included in this research. All patients were observed preoperatively, at the operation room and at the postoperative surgery service. Spinal anaesthesia was planned for Group I and general anaesthesia for Group II. Ketofol (1:1) was administered to the combined spinal-epidural group, with a Ramsay sedation score of 3 after the spinal block. Epidural analgesia was planned for all patients. Patients' age, gender, weight, comorbidities, ASA risk scores, intraoperative haemodynamic parameters, bleeding amounts, colloid, crystalloid, and blood products were collected.

Results: There was no significant difference between the demographic characteristics of both anaesthesia groups (p >0.05). The amount of bleeding was statistically lower in Group I than in the general anaesthesia group (p = 0.004). Oral intake, drain withdrawal, mobilisation, discharge times, and costs were similar in all groups (p >0.05).

Conclusion: The regional anaesthesia applications facilitate compliance with routine mobilisation, discharge procedures and prevent complications in abdominal surgery and its positive perioperative effects in patients with poor respiratory parameters, poor general condition, and high comorbidity in advanced age.

Key words: Regional anaesthesia, Spinal-epidural, Mobilisation, Pain, Colon cancer.

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