Anesthesia management of patients with laparoscopic cholecystectomy based on fast track surgery
- VernacularTitle:基于快速康复理念下腹腔镜胆囊切除手术患者的麻醉管理
- Author:
Guanguo XUE
1
Author Information
1. 南京市江宁区第二人民麻醉科
- From:
China Modern Doctor
2015;(10):117-119
- CountryChina
- Language:Chinese
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Abstract:
Objective To investigate the effect of anesthesia management of patients with laparoscopic cholecystectomy(LC) based on fast track surgery(FTS). Methods A randomized controlled clinical trial was carried out, 38 patients were randomly divided into test group(n=19,epidural block anesthesia and general anesthesia) and control group (n=19,general anesthesia). The blood glucose(Glu)and serum cortisol were tested at the following four time pointsbefore anesthesia, at pneumoperitoneum, 15 min after surgery and completing operation. Awakening time, evacuation time post operation and adverse events were observed and compared. Results Compared with before anesthesia, serum cor-tisol and Glu were increased at various time point in control group (P<0.05), there were statistical differences in two groups (P<0.05). Awakening time and evacuation time post operation of test group were earlier than control group (P<0.05). There were statistical differences in adverse events post operation in two groups(P<0.05). Conclusion Anesthesia management based on FTS can decrease stress reaction and accelerate rapid rehabilitation for patients of LC.
