论文部分内容阅读
目的 :比较三种不同麻醉方法用于乳腺癌根治术的实用价值。方法 :对我院收治的 177例乳腺癌病人 ,按麻醉方法分硬膜组 ( 6 0例 )、静脉组 ( 5 0例 )和全麻组 ( 6 7例 ) ,比较三种麻醉方式术中使用止血药百分比和术后苏醒情况。并从三组各随机抽取 2 0例 ,比较三组病人麻醉前、麻醉后 15、30、6 0、90minHR、SBP、DBP、SPO2 变化。结果 :术中止血药使用率静脉组显著高于硬膜组及全麻醉组 (P <0 0 1) ,术后苏醒延长静脉组显著长于硬脉组及全麻组。静脉组麻醉后HR、SBP、DBP先下降 ,后上升 ,麻醉后 15minDBP明显降低 (P <0 0 1)、6 0min升高 (P <0 0 5 )、90min明显升高 (P <0 0 1) ;硬膜组麻醉后 6 0、90minHR显著降低 (P <0 0 1) ;全麻组SPO2 术各时点显著升高 (P <0 0 1)。结论 :乳腺癌根治术采用高位硬膜外麻醉或气管内静脉吸入复合全麻比静脉复合麻醉更具有实用价值
Objective: To compare the practical value of three different anesthesia methods for radical mastectomy. METHODS: A total of 177 patients with breast cancer admitted to our hospital were divided into a dura group (60), an intravenous group (50), and an anesthesia group (67) according to anesthetic methods. Use the percentage of hemostat and postoperative recovery. And from the three groups were randomly selected 20 cases, the three groups of patients before anesthesia, after anesthesia 15,30,60,90minHR, SBP, DBP, SPO2 changes. Results: The use of intraoperative hemostatic drug was significantly higher in the intravenous group than in the dura mater group and the total anesthesia group (P < 0.01). The postoperative resuscitation delayed vein group was significantly longer than the hard pulse group and the general anesthesia group. After anaesthesia, HR, SBP, and DBP decreased first and then increased after intravenous anesthesia. DBP decreased significantly (P < 0.01), increased at 60 minutes (P <0 05), and increased significantly at 90 minutes (P <0 0 1) 15 minutes after anesthesia. In the dura mater group, the HR at the 6th and 90th min after the anesthesia was significantly lower (P < 0 01); the SPO2 at the general anesthesia group was significantly higher at each time point (P <0 01). Conclusion: The use of high epidural anesthesia or endotracheal inhalation combined with general anesthesia for radical mastectomy for breast cancer is more practical than intravenous anesthesia.