不同镇痛方式对直结肠癌根治术后患者血流动力学及睡眠质量的影响

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AbstractObjective：To explore the specific efectsofdiferentanalgesic methodsonthe hemodynamic indicatorsand sleep quality inpatintsafteradicalresectionofcolorectalcancer.Methods：Atotalofeightypatientswhounderwentradicalresection dueto colorectalcancerinthe hospitalfrom April2O23 toApril2024wereselectedandrandomlydivided into two groups byrandomnumbertable，with40cases ineachgroup.Thecontrol groupreceived intravenousanalgesia，while theobservation groupreceived epiduralanalgesiaanesthesia.Thehemodynamicindicatorsandsleepqualityof thepatientsinthetwogroups wereobserved andrecorded.Results：Thescores inthesleepqualityat each phaseof theobservation groupafterthe surgery was significantly lower than those of the control group（ P<0.05 ）；On the1st and 3rd days after the operation，all the sleep indicators of the patients in the observation group were better than those in the control group（ P<0.05 ）. The hemodynamics in the observation group was relatively stable，and the occurrence of severe sleep disorders was relatively rare（ P<0.05） . Conclusion： Epidural analgesiaanesthesiacan helppatients havemorestable hemodynamicindicators，improve sleepqualityof patients.Itisof greatsignificanceforthepostoperativerecoveryof patients.Multiplefactors needtobecomprehensivelyconsideredtooptimizetheanalgesia protocol.

KeywordsRadical resectionofcolorectal cancer;Analgesic method;Hemodynamics；Sleepquality；Sleepeficiency；Arousal index;Epidural analgesia; Intravenous analgesia

中图分类号：R273;R338.63 文献标识码：A doi：10.3969/j. issn. 2095 -7130.2025.04.008

直结肠癌（ColorectalCancer，CRC）作为常见的消化道恶性肿瘤，近年来发病率在全球范围内呈上升趋势。（剩余5831字）