CAJ | 학술논문

目的：研究七氟醚结合地佐辛在食管癌切除手术麻醉中的应用。方法从2012年3月至2013年3月，与我院90例患者需进行食管癌切除手术。以数字随机分成观察组（45例）和对照组（45例）。对两组患者均进行食管切除术。观察组患者于手术前进行七氟醚结合地佐辛进行麻醉；对照组患者则在手术前使用七氟醚进行麻醉。结果观察组效果为优者占比73.33%（33/45），优良率为86.67%（39/45），均显著高于对照组的51.11%（23/45），71.11%（32/45）。差异均有统计学意义（均P＜0.05）。观察组麻醉时间（186.34±15.16）mim，术毕清醒时间为（4.13±0.54）min；对照组麻醉时间（136.38±13.16）mim，术毕清醒时间为（6.15±0.76）min，观察组麻醉时间长于对照组，术毕清醒时间短于对照组。差异均有统计学意义（均P＜0.05）。结论七氟醚结合地佐辛在食管癌切除手术麻醉中的应用，不仅可明显提升麻醉效果，还可减少术毕清醒时间。安全性较好，值得临床推荐。
목적：연구칠불미결합지좌신재식관암절제수술마취중적응용。방법종2012년3월지2013년3월，여아원90례환자수진행식관암절제수술。이수자수궤분성관찰조（45례）화대조조（45례）。대량조환자균진행식관절제술。관찰조환자우수술전진행칠불미결합지좌신진행마취；대조조환자칙재수술전사용칠불미진행마취。결과관찰조효과위우자점비73.33%（33/45），우량솔위86.67%（39/45），균현저고우대조조적51.11%（23/45），71.11%（32/45）。차이균유통계학의의（균P＜0.05）。관찰조마취시간（186.34±15.16）mim，술필청성시간위（4.13±0.54）min；대조조마취시간（136.38±13.16）mim，술필청성시간위（6.15±0.76）min，관찰조마취시간장우대조조，술필청성시간단우대조조。차이균유통계학의의（균P＜0.05）。결론칠불미결합지좌신재식관암절제수술마취중적응용，불부가명현제승마취효과，환가감소술필청성시간。안전성교호，치득림상추천。
Objective To study the sevoflurane combined Dezocine in esophageal surgery anesthesia. Methods From March 2012 to March 2013 , and in our hospital 90 cases of esophageal cancer patients in need of surgery. Digital randomly divided into observation group (45 cases) and control group (45 cases). Two groups of patients were performed esophagectomy . Patients in the observation group before surgery sevoflurane anesthesia combined Dezocine;patients in the control group before surgery using sevoflurane anesthesia. Results The effect was excellent accounting for 73.33%(33/45), good rate of 86.67%(39/45), which were significantly higher than 51.11%(23/45), 71.11%(32/45). The differences were statistically significant(P<0.05). Anesthesia time observation group(186.34±15.16)mim,, surgery recovery time was(4.13±0.54)min, anesthesia time control group(136.38±13.16)mim, surgery recovery time was(6.15±0.76)min, the observation group anesthesia longer than the control group , awake surgery shorter than the control group. The differences were statistically significant(P<0.05). Conclusion Sevoflurane combined Dezocine esophageal resection in anesthesia , not only can significantly enhance the anesthetic effect , and can reduce recovery time of surgery . Security is good, worthy of recommendation.