中国社区医师Issue(7)：80-80,82,2.DOI:10.3969/j.issn.1007-614x.2015.7.49
喉罩全麻在乳腺癌改良根治术中的应用
Application of laryngeal mask airway anesthesia in modified radical mastectomy for breast cancer surgery
欧阳才任 1向晓碧 1林帆1
作者信息
- 1. 418000湖南省怀化市第二人民医院麻醉科
- 折叠
摘要
Abstract
Objective:To investigate the clinical effect of the application of laryngeal mask general anesthesia in modified radical mastectomy for breast cancer surgery.Methods:52 patients who had modified radical mastectomy under general anesthesia were selected from May 2013 to May 2014.They were randomly divided into tracheal intubation general anesthesia group and general anesthesia of laryngeal mask group with 26 cases in each group according to the different ways of anesthesia.The two groups patients followed by intravenous injection of midazolam,propofol,fentanyl and vecuronium for induction of anesthesia.We did endotracheal intubation or laryngeal mask airway after mandibular relaxation.We observed the blood pressure,heart rate and stress hormone epinephrine(E) and norepinephrine(NE) changes before the induction of anesthesia(T0) and tracheal insertion or laryngeal mask airway(T1) of the two groups patients.Results:The systolic blood pressure,diastolic blood pressure,heart rate and E and NE levels of the laryngeal mask airway anesthesia group when the laryngeal mask in compared with before the induction,and there were no significant difference(P>0.05);the systolic blood pressure,diastolic blood pressure,heart rate and E and NE levels of the endotracheal intubation group when the laryngeal mask in compared with before the induction and the laryngeal mask airway anesthesia group,and the difference had statistically significant(P<0.05).Conclusion:We give the modified radical mastectomy for breast cancer patients with laryngeal mask airway anesthesia,and it can help to maintain the stability of hemodynamics in patients with induction period,and reduce the induction period of stress reaction.The effect is better than general anesthesia with endotracheal intubation.关键词
乳腺癌改良根治术/喉罩/气管插管/血流动力学/应激反应Key words
Modified radical mastectomy for breast cancer/Laryngeal mask/Tracheal intubation/Hemodynamics/Stress reaction引用本文复制引用
欧阳才任,向晓碧,林帆..喉罩全麻在乳腺癌改良根治术中的应用[J].中国社区医师,2015,(7):80-80,82,2.
