论文部分内容阅读
目的探究喉罩与气管插管用于全麻乳腺癌根治术的临床疗效对比。方法选取医院自2012年3月-2015年3月收治的诊断为乳腺癌行全麻根治术的78例患者为研究对象,将其随机分为试验组和对照组各39例,对照组给予气管插管的方法做全麻手术,试验组给予喉罩的方式做全麻手术。观察2组患者的麻醉效果,比较2组血流动力学及血气指标改善情况。结果试验组麻醉效果总有效率为92.31%明显高于对照组的76.92%(P<0.05);对照组麻醉前后SBP、DBP及Pa O2、Pa CO2变化指标比较差异有统计学意义(P<0.05);试验组麻醉前后SBP、DBP及Pa O2、Pa CO2变化指标差异无统计学意义(P>0.05)。结论喉罩用于全麻乳腺癌根治术与气管插管相比,具有麻醉效果较好,拔管前后其生命征趋于稳定状态,其安全性较高,而且操作比较简单,值得在临床上推广及应用。
Objective To investigate the clinical efficacy of laryngeal mask and endotracheal intubation for radical mastectomy for breast cancer. Methods Seventy eight patients diagnosed with radical mastectomy for breast cancer who were admitted to our hospital from March 2012 to March 2015 were selected as study subjects and randomly divided into experimental group (39 cases) and control group (39 cases), and control group The method of intubation general anesthesia surgery, the experimental group to give laryngeal mask way to do general anesthesia. The effects of anesthesia in two groups were observed and the hemodynamics and blood gas parameters were compared between two groups. Results The total effective rate of anesthesia in experimental group was 92.31%, which was significantly higher than 76.92% in control group (P <0.05). The changes of SBP, DBP, Pa O2 and Pa CO2 in control group before and after anesthesia were significantly different (P <0.05 ). There was no significant difference in SBP, DBP, Pa O2, Pa CO2 before and after anesthesia in experimental group (P> 0.05). Conclusion Laryngeal mask for general anesthesia with endotracheal intubation compared with tracheal intubation, anesthesia is good, before and after extubation life signs tend to be stable, its safety is high, and the operation is relatively simple, it is clinically Promotion and application.