Objective To observe the effect of epidural block combined with general anesthesia on recovery after radical resection of colorectal cancer. Methods A total of 64 patients who underwent radical surgery for colorectal cancer from August 2021 to March 2024 were selected. They were divided into a combination anesthesia group （hereinafter referred to as the combination group） and a control group based on different anesthesia methods,with 32 cases in each group. The control group received general anesthesia for surgery, while the combination group received general anesthesia combined with intrathecal anesthesia. The incidence rate of postoperative complications, first exhaust time, defecation time, and length of hospital stay were compared between the two groups. Results After the surgery, the incidence rate of postoperative complications in the combination group was significantly lower than that in the control group （P<0.05）. The first postoperative exhaust time, defecation time, and length of hospital stay in the combination group were significantly shorter than those in the control group （P<0.05）. The visual analogue scale （VAS） score at 12 h after surgery was significantly lower than that in the control group （P<0.05）. Conclusion Epidural block combined with general anesthesia can significantly reduce the incidence of postoperative complications after radical resection of colorectal cancer, promote postoperative exhaust and defecation, and shorten the length of hospital stay.
CHEN Lei
,
LI Haitao
,
SONG Tingting
,
CHE Jianxiang
. Effect of epidural block combined with general anesthesia on postoperative recovery of patients with colorectal cancer after radical resection[J]. Surgical Research and New Technique, 2024
, 13(3)
: 236
-239
.
DOI: 10.3969/j.issn.2095-378X.2024.03.013
[1] 桂鹏,黄卫.全结直肠癌根治术与次全结直肠癌根治术治疗慢传输型便秘的meta分析[J]. 重庆医学,2023,52(22):3475-3480.
[2] 张劲,张晓婷,李雅慧.不同麻醉及镇痛方式对乳腺癌切除术患者固有免疫功能的影响[J]. 医学综述,2023,29(3):596-601.
[3] 王晓娜,林旭林,林耿彬,等.不同麻醉镇痛方式对腹腔镜结直肠癌根治术患者术后转归的影响[J]. 外科研究与新技术,2021,10(1):57-60.
[4] 张玲. 加速康复外科理念的饮食干预在腹腔镜结直肠癌根治术患者中的应用效果观察[J]. 医药前沿,2023,13(10):104-106.
[5] 师玉霞,宋静超.加速康复外科管理在胸腔镜肺段切除术患者围手术期护理中的应用效果[J]. 临床医学研究与实践,2023,8(24):146-149.
[6] 高兴超,李彩霞,魏代香.多种麻醉方式联合加速康复外科理念在结肠切除手术患者中的应用[J]. 反射疗法与康复医学,2020,1(17):121-123.
[7] 邹鹏,刘剑,张昊阜子,等.加速康复外科理念联合清醒麻醉对脑胶质瘤预后的影响[J]. 国际神经病学神经外科学杂志,2023,50(2):34-39.
[8] 吴靦,代文化,曾伟,等.基于加速康复外科理念的去阿片化麻醉镇痛在急诊剖宫产围手术期运用观察[J]. 药物流行病学杂志,2023,32(2):166-172.
[9] 安斌,董文岳,庄伟,等.加速康复外科理念联合多模式镇痛对腹腔镜妇科恶性肿瘤治疗效果观察[J]. 临床军医杂志,2022,50(12):1288-1290.
[10] 黄瑜婷. ERAS理念下麻醉前间羟胺预泵注在预防剖宫产腰硬联合麻醉后低血压中的价值[J]. 心血管病防治知识,2022,12(20):55-58.
[11] 乔丽艳,郝占元,左灵.加速康复外科理念下麻醉管理在腰椎手术中的应用[J]. 中国医药导报,2021,18(4):107-110.
[12] 吴丹,郑晶晶,马骥,等.加速康复外科理念下胃癌根治术后应用耳穴贴压联合氟比洛芬酯镇痛的疗效观察[J]. 浙江中西医结合杂志,2020,30(6):484-487.
