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目的 探讨腰 -硬联合麻醉 (CSEA)用于直肠癌根治术的效果。方法 80例直肠癌根治术病人随机分成CSEA组 (n =40 )和持续硬膜外阻滞组 (CEA组 ,n =40 ) ,观察两组病人的麻醉起效时间、麻醉效果、局麻药用量以及对循环影响和术后并发症情况。结果 CSEA组较CEA组麻醉起效时间快 ,麻醉效果满意度高 ,硬膜外用药量小 ,两组对循环影响无明显差异 ,CSEA组 1例术后出现轻微头痛 ,自行缓解 ,无其它严重并发症。结论 CSEA用于直肠癌根治术麻醉效果完善 ,并发症发生率低 ,值得推广
Objective To investigate the effect of combined spinal-epidural anesthesia (CSEA) for radical resection of rectal cancer. Methods Eighty patients undergoing radical resection of rectal cancer were randomly divided into CSEA group (n = 40) and continuous epidural block group (CEA group, n = 40). The onset time of anesthesia, anesthesia, As well as the impact on circulation and postoperative complications. Results The onset of anesthesia was faster in CSEA group than in CEA group, with satisfactory anesthetic effect and small amount of epidural administration. There was no significant difference between the two groups in the effect of circulation. One patient in CSEA group had slight headache after operation and relieved spontaneously without any other serious complication. Conclusion CSEA has a good anesthetic effect and low complication rate for radical resection of rectal cancer, and is worth promoting