静吸复合麻醉与全凭静脉麻醉在乳腺癌根治术中的苏醒质量比较研究

Comparative Study of Intravenous Inhalational Anesthesia and Total Intravenous Anesthesia in Radical Mastectomy of Revive Qualitative

目的比较在乳腺癌根治术中静吸复合麻醉与全凭静脉麻醉在术后恢复质量上的区别。方法选择2013年1月~2015年12月在我院接受乳腺癌根治术的患者60例,ASA(美国麻醉医师协会)分级I^II级,年龄35~56岁,均实行全身麻醉+气管插管,按麻醉维持方法不同分为A组(静吸复合麻醉)和B组(全凭静脉麻醉)。观察比较两组在手术完成后自主呼吸恢复时间、拔管时间、定向力恢复时间、steward苏醒评分差别;两组各种麻醉药物总用量区别;观察术后不良反应。结果两组一般情况比较无统计学差异,B组在自主呼吸恢复时间、拔管时间、定向力恢复时间上均短于A组,差异具有统计学上意义;两组麻醉药物总量对比,差异不具有统计学意义,但B组小于A组;Steward苏醒评分、两组术后不良反应对比,差异不具有统计学意义。结论在乳腺癌根治术中,静吸复合麻醉比全凭静脉麻醉苏醒质量更高。

Objective To compare the recovery profiles of total intravenousanesthesia vs inhalation-intravenous balances anesthesia in radical mastectomy.Methods Selected 60 patient from January 2013 to December 2015 in our hospital,ASA I or II,aged 35 to 56 years old,were equally randomized to two groups,group A（inhalation-intravenous balances anesthesia） and group B（total intravenous anesthesia）.The research recorded the the times of recovering spontaneous breathing,extubation,orientation after termination of anesthesia,total doses of the drugs,and the side-effects of the anesthesia between the two groups.Results The times of recovering spontaneous breathing,extubation,orientation after termination of inhalation-intravenous balances anesthesia were shorter than the total intravenous anesthesia（P〈0.05）,the total doses of the drugs and the sideeffects of the two kinds of anesthesia were similar（P〈0.05）.Conclusion Radical mastectomy,inhalation-intravenous balances anesthesia was a better choice than total intravenous anesthesia.