异丙酚靶控输注麻醉用于乳腺包块切除术的临床观察

Application of Target-controlled-infusion Propofol Anesthesia in Breast Mass Excision

目的观察异丙酚静脉靶控输注麻醉与肋间神经阻滞麻醉、高位硬膜外阻滞麻醉行单侧乳腺包块切除术麻醉手术时间和患者满意度的差别。方法选择60例乳腺病变行单侧乳腺包块切除术患者,随机分为异丙酚静脉靶控组(A组,n=20)、肋间神经阻滞组(B组,n=20)和高位硬膜外阻滞组(C组,n=20)。观察麻醉开始到手术结束的时间及患者对术中的记忆、麻醉手术的满意程度。结果 A组从麻醉开始到手术结束时间短于B组与C组,差异有统计学意义(P<0.05);A组麻醉手术满意度明显好于B组和C组,差异有统计学意义(P<0.05)。结论异丙酚静脉靶控输注麻醉用于乳腺包块切除术相对于肋间神经阻滞、高位硬膜外阻滞麻醉具有麻醉手术时间短、可控性好、安全性较高、麻醉效果确切、术中生命体征平稳、患者满意度高等优势。

Objective To observe the effects of target-controlled infusion（TCI） propofol anesthesia on breast mass excision and compare this anesthesia with intercostal nerve block and epidural anesthesia. Methods Sixty cases were randomly divided into three groups ：TCI propofol anesthesia （Group A）, intercostal nerve block （Group B） and epidnral anesthesia （Group C）.The time of anesthesia beginning to the end of surgery and the patient satisfaction degree were observed. Results The time of anesthesia beginning to the end of surgery in Group A was less than that of Group B and Group C , with a significant difference （P〈0.05）, and the patient satisfaction degree of Group A was higher than that of Group B and Group C , with a significant difference （P〈0.05）. Conclusion TCI propofol anesthesia is superior to intercostal nerve block and epidural anesthesia in breast mass excision.