喉罩通气全身麻醉在乳腺癌根治术中的应用效果

Application of general anesthesia with laryngeal mask airway in radical mastectomy for breast cancer

目的探讨喉罩通气全身麻醉在乳腺癌根治术中的应用效果。方法抽取2019年1月至2022年1月于漯河市中医院行乳腺癌根治术患者80例,按随机数字表法分为对照组与研究组,每组40例。对照组采用气管插管通气治疗,研究组采用喉罩通气全身麻醉。比较两组术中1 h时平均动脉压、心率、血氧分压、血氧饱和度;比较两组术后1、4、8 h视觉模拟评分法(VAS)评分。比较两组麻醉时间、苏醒时间、住院时间及不良反应发生率。结果术中1 h时,研究组平均动脉压、心率水平低于对照组,血氧分压水平高于对照组(P<0.05)。术后1、4、8 h,研究组VAS评分均低于对照组(P均<0.05)。研究组麻醉诱导时间、麻醉维持时间长于对照组,苏醒时间及住院时间短于对照组(P<0.05)。研究组不良反应发生率(2.50%,1/40)与对照组(7.50%,3/40)比较差异未见统计学意义(P>0.05)。结论乳腺癌根治术中应用喉罩通气全身麻醉,可改善血气水平,减轻应激反应,缓解术后疼痛,减少麻醉药物用量,帮助患者恢复,具有麻醉安全性。

Objective To investigate the application of general anesthesia with laryngeal mask airway in radical mastectomy for breast cancer.Methods A total of 80 patients who underwent radical mastectomy for breast cancer in Luohe Hospital of Traditional Chinese Medicine from January 2019 to January 2022 were selected,and they were divided into control group and study group by random number table method,with 40 cases in each group.The control group received tracheal intubation ventilation,and the study group received general anesthesia with laryngeal mask airway.The mean arterial pressure,heart rate,partial pressure of oxygen,and saturation of oxygen 1 h after beginning of surgery were compared between the two groups.The visual analogue scale(VAS)score of the two groups were compared at 1,4 and 8 hours after surgery.The anesthesia time,recovery time,hospital stay,and incidence of adverse reactions were compared between the two groups.Results The study group had lower levels of mean arterial pressure and heart rate,but higher level of partial pressure of oxygen 1h after beginning of surgery,compared with the control group(P<0.05).At 1,4 and 8 hours after surgery,VAS score of the study group was lower than that of the control group(all P<0.05).The induction time and maintenance time of anesthesia in the study group were longer than those in the control group,while the recovery time and hospital stay of the study group were shorter than those of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the study group(2.50%,1/40)and the control group(7.50%,3/40),P>0.05.Conclusions General anesthesia with laryngeal mask airway in radical mastectomy for breast cancer can improve blood gas level,relieve stress response,alleviate postoperative pain,reduce the dose of narcotic drugs,which is conductive to recover,with safety.