乳腺癌改良根治术应用喉罩通气全凭吸入七氟醚麻醉效果分析.docVIP

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 　　[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。 　　[关键词] 乳腺癌；改良根治术；喉罩通气；七氟醚；麻醉；效果 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0143-02 　　[Abstract] Objective To discuss the effect of sevoflurane total inhalation aesthesia with laryngeal mask airway in the application of modified radical mastectomy. Methods 134 cases of patients with radical mastectomy diagnosed in our hospital from September 2013 to September 2015 were selected and randomly divided into two groups with 67 cases in each， the control group received traditional induction of anesthesia of intravenous injection until the laryngeal mask was successfully placed， and the patients were given continuous inhalation of sevoflurane and discontinuous injection of cisatracurium besylate， while the observation group used sevoflurane for induction until the laryngeal mask was placed， and the anesthesia was maintained by the simple application of sevoflurane， and the anesthesia effects of the two groups were compared and statistically analyzed. Results After anesthesia， the difference in the laryngeal mask insertion time between the observation group and the control group was not obvious， [（28.94±17.64） s vs （29.61±18.02） s]， P0.05， the difference in the laryngeal mask removal time between the observation group and the control group was bigger with statistical significance， [（9.26±3.22） min vs （14.95±5.96） min]， P0.05. Conclusion The sevoflurane total inhalation anesthesia with laryngeal mask airway in the application of modified radical mastectomy is a safe and effective anesthesia method， which is worth clinical promoti