乳腺癌改良根治术应用喉罩通气全凭吸入七氟醚麻醉的效果分析

发布时间：2018-03-22 16:01

本文选题：乳腺癌　切入点：改良根治术　出处：《中外医疗》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨腺癌改良根治术中应用罩通气全凭吸入七氟醚麻醉的效果。方法整群选取2013年9月—2015年9月期间,在该院接诊的134例乳腺癌根治患者,将所有患者随机分为两组,即观察组(n=67)和对照组(n=67),对照组患者接受传统静脉注射麻醉诱导,直到成功置入喉罩后,给予患者持续吸入七氟醚,并间断注射顺苯磺酸阿曲库铵。观察组中应用七氟醚做诱导,直到喉罩置入,并单纯应用七氟醚维持麻醉,对比两组患者的麻醉效果。结果在接受不同麻醉情况下,观察组患者喉罩插入时间为(28.94±17.64)s,对照组为(29.61±18.02)s,组间差异无统计学意义(P0.05)。观察组患者喉罩拔除时间(9.26±3.22)min,对照组为(14.95±5.96)min,组间差异有统计学意义(P0.05)。结论在乳腺癌改良根治术中,应用喉罩通气全凭吸入七氟醚麻醉属于一种安全、有效的麻醉方法,值得临床推广和应用。
[Abstract]:Objective to investigate the effect of complete ventilation anesthesia by inhaling sevoflurane during modified radical mastectomy for adenocarcinoma. Methods 134 patients with breast cancer received radical mastectomy from September 2013 to September 2015 were randomly divided into two groups. The patients in the control group were induced by traditional intravenous anesthesia until successfully placed into the larynx mask and were given continuous inhalation of sevoflurane and intermittent injection of atracurium cis-benzenesulfonic acid. Sevoflurane was used as induction in the observation group. Until the larynx mask was placed and sevoflurane was used to maintain the anesthesia, the anesthetic effects of the two groups were compared. The laryngeal mask insertion time in the observation group was 28.94 卤17.64 minutes, and that in the control group was 29.61 卤18.02 seconds. There was no significant difference between the two groups. The laryngeal mask extraction time of the observation group was 9.26 卤3.22 minutes, and that of the control group was 14.95 卤5.96 minutes. Conclusion there is a significant difference between the two groups in the modified radical mastectomy for breast cancer. Laryngeal mask ventilation by inhalation of sevoflurane is a safe and effective anesthesia method, which is worth popularizing and applying in clinic.
【作者单位】：张家港市中医医院麻醉科;
【分类号】：R737.9;R614

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