气管插管与喉罩麻醉在乳腺癌术中的效果及安全性

Efficacy and Safety of Endotracheal Intubation and Laryngeal Mask Airway for Anesthesia in Radical Mastectomy

目的比较气管插管与喉罩麻醉在乳腺癌手术中的安全性和有效性。方法选取全麻乳腺癌改良根治术患者60例作为研究对象,随机分为观察组(n=30)和对照组(n=30),分别采用喉罩置入或气管插管,记录并比较两组患者置管、拔管操作时间,麻醉期间各时间段的心率(HR)、血压(SBP/DBP)变化,以及苏醒后不良反应的情况。结果①观察组置入、摘除喉罩时间显著短于对照组(P<0.05);②对照组插管后心率、血压均较基础值显著升高(P<0.05);观察组患者置入喉罩后心率、血压均较为稳定;同一时间段观察组的HR、SBP、DBP均低于对照组(P<0.05);③两组患者均未出现误吸,观察组恢复期躁动及咽痛发生率显著低于对照组(P<0.05)。结论乳腺癌患者全麻采用喉罩通气,对心率、血压的影响较小,麻醉苏醒期短,并发症少。

Objective To compare the safety and efficacy of laryngeal mask airway and endotracheal intubation for anes -thesia in radical mastectomy .Methods 60 patients who received radical mastectomy were selected and randomly divided into the observation group(n=30) and the control group (n=30).The observation group used laryngeal mask airway and the control group used endotracheal intubation .Operative time,HR and SBP/DBP in different period during anesthesia ,and complications of the 2 groups were compared .Results ①The operative time in the observation group was shorter than that of the control group ( P<0.05);②The SBP/DBP,HR in the control group increased remarkably after intubation while these items in the observation group had no significant change after laryngeal mask placement .In the same period during anesthesia ,the HR、SBP、DBP in the observation group were lower than those of the control group (P<0.05);③There was no aspiration in the 2 groups.The inci-dence of irritation and cough in the observation group were lower than those of the control group (P<0.05).Conclusion Laryn-geal mask airway for breast cancer has smaller impact on heart rate and blood pressure ,and patients can quickly regain conscious-ness after anesthesia during anesthesia with less complications .