连续胸椎旁神经阻滞联合全身麻醉用于乳腺癌手术对患者Ramsay评分及不良反应的影响

发布时间：2018-09-13 10:31

【摘要】：目的探讨连续胸椎旁神经阻滞联合全身麻醉用于乳腺癌手术对患者Ramsay评分及不良反应的影响。方法将192例行乳腺癌手术的患者随机分为研究组和对照组各96例。研究组乳腺癌手术中采用连续胸椎旁神经阻滞联合全身麻醉,对照组乳腺癌手术中采用全身麻醉,分别在不同时间点观察2组患者的Ramsay评分及不良反应。结果研究组在不同时间点Ramsay评分比较差异无统计学意义(P0.05),且较对照组显著性偏低(P0.05)。对照组24h时Ramsay评分显著性的高于4、8、12h时,差异有统计学意义(P0.05);研究组各时点恶心、呕吐的不良反应发生率均低于对照组,差异有统计学意义(P0.05)。结论连续胸椎旁神经阻滞联合全身麻醉用于乳腺癌手术,Ramsay评分相对较低且稳定,无过度镇静现象,且不良反应发生率低。
[Abstract]:Objective to investigate the effect of continuous paravertebral nerve block combined with general anesthesia on Ramsay score and adverse reaction in patients with breast cancer. Methods 192 patients undergoing breast cancer surgery were randomly divided into study group (n = 96) and control group (n = 96). The patients in the study group were treated with continuous paravertebral nerve block combined with general anesthesia in the breast cancer operation, while the patients in the control group were treated with general anesthesia. The Ramsay scores and adverse reactions of the two groups were observed at different time points. Results there was no significant difference in Ramsay score between the study group and the control group at different time points (P0.05), and was significantly lower than that in the control group (P0.05). The Ramsay score of the control group at 24 hours was significantly higher than that of the control group at 812 hours (P0.05); the incidence of adverse reactions of nausea and vomiting in the study group was lower than that in the control group at each time point, the difference was statistically significant (P0.05). Conclusion continuous thoracic paraspinal nerve block combined with general anesthesia is a relatively low and stable Ramsay score for breast cancer surgery. There is no excessive sedation and the incidence of adverse reactions is low.
【作者单位】：河北省邯郸市中医院;河北省魏县人民医院;河北省永年县第一医院;
【分类号】：R737.9;R614

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