不同麻醉在乳腺癌根治术中的应用分析

Application and Analysis of Different Anesthesia in Radical Operation of Breast Cancer

目的:对比全麻与将其联合硬膜外阻滞麻醉两种麻醉方式在乳腺癌根治术中的临床效果。方法:将我院收治的106例患者依据麻醉方式差异予以分组,其中采用全麻的51例患者设为对照组,将其联合硬膜外阻滞的55例患者设为观察组,对比两组功效。结果:观察组术后呼吸恢复、苏醒、拔管时间均比对照组少(P<0.05),两组对导管不耐受性无显著差异(P>0.05)。麻醉前两组HR、SBP、DBP、SpO2无明显差异(P>0.05)。麻醉后两组HR、SBP、DBP、SpO2差异显著(P<0.05)。结论:全麻与硬膜外阻滞联合作用于实施乳腺癌根治术患者,该法结合了其安全有效的麻醉优点,更利于患者的预后,值得临床采纳。

Objective ：To compare with the general anesthesia combined with epidural anesthesia of two kinds of anes-thesia in radical operation of breast cancer clinical effect .Methods ：106 cases of patients admitted to our hospital for an-esthesia according to group differences ,the general anesthesia in 51 patients as control group ,the combined with epi-dural anesthesia in 55 cases of patients as the observation group ,compared two groups of efficacy .Results：The recover-y ,recovery ,extubation time were less than the control group of respiratory patients in the observation group （ P 0 .05） .Before anesthesia two groups of HR ,SBP ,DBP ,SpO2 no significant difference （P〉0 .05） .Difference between the two groups in HR ,SBP ,DBP after anesthesia significantly （P0 .05） .Conclusion：The combined effect of general anesthesia and epidural block in the implementation of radical mastectomy for breast cancer patients ,this meth-od combines the advantages of safe anesthesia effectively ,more conducive to the prognosis of patients ,is worthy of clinical adoption .