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目的探究硬膜外麻醉复合全麻对胃癌患者术后短期认知功能及苏醒期躁动的影响。方法选取2014年5月至2016年8月固始县人民医院收治的胃癌患者102例为研究对象,按照随机数表法将其分为两组,各51例。观察组实施硬膜外麻醉复合全麻,对照组实施阻滞平面气管全麻。比较两组术后短期认知功能及苏醒躁动状况。结果观察组术后1 d、3 d认知功能评分均比对照组高,差异有统计学意义(P<0.05);观察组躁动评分比对照组低,差异有统计学意义(P<0.05)。结论胃癌患者手术使用硬膜外麻醉复合全麻可有效减少术后短期认知功能和苏醒躁动症状的发生,提高患者术后恢复效果。
Objective To investigate the effect of epidural anesthesia combined with general anesthesia on short-term cognitive function and wakefulness in patients with gastric cancer. Methods A total of 102 patients with gastric cancer who were admitted to Gushi County People’s Hospital from May 2014 to August 2016 were selected and divided into two groups (n = 51) according to random number table. The observation group was given epidural anesthesia combined general anesthesia, and the control group was performed general anesthesia with block plane tracheal anesthesia. The short-term cognitive function and wakefulness recovery were compared between the two groups. Results The scores of cognitive function in the observation group were higher than those in the control group on the 1st day and the 3rd day after operation (P <0.05). The agitation score in the observation group was lower than that in the control group (P <0.05) . Conclusion The use of epidural anesthesia combined with general anesthesia in patients with gastric cancer surgery can effectively reduce postoperative short-term cognitive function and wake up restlessness symptoms, and improve postoperative recovery.