全凭静脉麻醉与全麻复合硬膜外阻滞对肺癌术后疼痛状态的差异性研究

doi:10.19739/j.cnki.issn1001-9510.2019.02.003

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Abstract Objective To investigate the difference of postoperative pain status of lung cancer with total intravenous anesthesia (TIVA) combined with general anesthesia combined with epidural analgesia (CGEA).Methods A total of 91 patients with lung cancer who underwent surgical treatment were randomly divided into the TIVA group (45 cases) and the CGEA group (46 cases).In the TIVA group, midazolam 0.04 to 0.06 mg/Kg was intravenously administered intravenously;0.4 to 0.6 μg/Kg of sufentanil,0.15 mg/Kg of atracurium cis-benzensulfonate,and 1.0 mg/Kg of propofol.After induction of anesthesia was completed, laryngoscope tracheal intubation was performed and mechanical ventilation was performed. Maintenance of anesthetic method:A micropump was pumped with atracurium sulfoxamate 2 ug/(Kg·min), propofol 5 mg/(Kg·h), and remifentanil 0.15 μg/(Kg·min).CGEA group:Induction of anesthesia was the same as above.T7-T8 disc space was selected as the puncture site.Epidural puncture was performed and an epidural catheter was placed.Anesthesia was maintained. 0.5% lidocaine hydrochloride was administered through the catheter every 30 minutes.Dosing once,5 mL each time.Results The patients in the CGEA group were superior to the TIVA group in terms of extubation time and recovery time.The incidence of infection was lower in the CGEA group than in the TIVA group. The scores in the CGAA group were better than those in the TIVA group at 5 hours and 10 hours after the operation.Conclusion The choice of CGEA anesthesia for lung cancer patients can effectively improve postoperative pain and reduce complications.

Key words： total intravenous anesthesia general anesthesia combined with epidural block lung cancer pain state

Received: 12 September 2018

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R734.2

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Cite this article:

HAN Nianping. Study on the difference of postoperative pain status of lung cancer treated by combined intravenous anesthesia and general anesthesia with epidural anesthesia[J]. 滨州医学院学报, 2019, 42(2): 88-89.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2019.02.003 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2019/V42/I2/88