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目的:研究分析吸入麻醉和静脉麻醉对乳腺癌根治术患者的临床麻醉效果。方法:选取2011年1月至2013年10月我院的76例乳腺癌手术患者来进行研究分析,将这些患者分成对照组和实验组。对照组采取吸入麻醉治疗,实验组采取吸入麻醉和静脉符合麻醉,对两组的麻醉情况进行对比分析。结果:实验组和对照组的镇痛起效时间对比无统计学差异性(P>0.05);实验组患者的VAS评分,5分钟时平均(7.2±2.1)、90分钟时平均(2.2±1.5),对照组的VAS评分5分钟时平均(4.1±0.4)、90分钟时平均(1.7±0.3),两组结果对比存在统计学差异性(P<0.05);实验组和对照组患者的术前心率、血氧饱和度、动脉压等对比不存在统计学差异性(P>0.05);实验组患者无不良反应病例,对照组有3例呕吐和恶心不良反应病例,两组不良反应情况对比存在统计学差异性(P<0.05)。结论:乳腺癌患者接受吸入麻醉联合静脉复合麻醉的效果突出,能够有效降低患者的疼痛感,临床中可以推广使用。
OBJECTIVE: To study the clinical effects of inhalation anesthesia and intravenous anesthesia on patients undergoing radical mastectomy for breast cancer. Methods: From January 2011 to October 2013 in our hospital, 76 cases of breast cancer surgery patients were studied and analyzed, these patients were divided into control group and experimental group. The control group was inhaled anesthesia, the experimental group inhaled anesthesia and intravenous anesthesia, the two groups of anesthesia comparative analysis. Results: There was no significant difference in the onset time of analgesia between the experimental group and the control group (P> 0.05). The VAS score of the experimental group was (7.2 ± 2.1) at 5 minutes and 2.2 ± 1.5 at 90 minutes ). The VAS scores of the control group averaged (4.1 ± 0.4) at 5 minutes and 1.7 ± 0.3 at 90 minutes (P <0.05). The results of the comparison between the two groups were statistically significant (P> 0.05). There were no adverse reactions in the experimental group, 3 cases of vomiting and nausea and adverse reactions in the control group, and the adverse reactions of the two groups were compared There was a statistically significant difference (P <0.05). Conclusion: Breast cancer patients receiving inhalation anesthesia combined with intravenous anesthesia is outstanding, can effectively reduce the patient’s pain, the clinical can be widely used.