临床误诊误治2026，Vol.39Issue(10)：33-38,6.DOI:10.3969/j.issn.1002-3429.2026.10.006
超声引导下胸神经阻滞复合全身麻醉用于乳腺良性肿瘤切除术麻醉效果及对血流动力学稳定性的影响
Anesthetic efficacy of ultrasound-guided pectoral nerves block type Ⅱ combined with general anesthesia in the resection of benign breast tumors and its impact on hemodynamic stability
摘要
Abstract
Objective To investigate the anesthetic efficacy of ultrasound-guided pectoral nerves block type Ⅱ(PECS Ⅱ block)combined with general anesthesia in the resection of benign breast tumors and its impact on hemodynamic stability.Methods A total of 98 female patients undergoing elective resection of breast fibroma between April 2023 and April 2025 were enrolled.According to random number table method,they were divided into PECS Ⅱ block group(group P,n=49,PECS Ⅱ block combined with general anesthesia)and local infiltration anesthesia group(group L,n=49,local infiltration anesthesia).The duration of operation,intraoperative total dosage of Propofol,additional times of intraoperative Propofol,the first intervention time of postoperative analgesics and dosage of Sufentanil within 24 h after surgery,heart rate,mean arterial pressure(MAP)and oxyhemoglobin saturation(SpO2)before anesthesia,immediately after skin incision,during surgery and after surgery were recorded.At 0.5 h,2 h,4 h and 6 h after surgery,pain degree of patients was evaluated by visual analogue scale(VAS).Results The difference in the duration of operation between the two groups was not statistically significant(P＞0.05).The intraoperative total dosage of Propofol,additional times of intraoperative Propofol and dosage of Sufentanil within 24h after surgery in group P were significantly lower than those in group L,and the first intervention time of postoperative analgesics was significantly longer than that in group L(P＜0.01).Immediately after skin incision,during surgery and after surgery,heart rate in group P was significantly lower than that in group L,while MAP and SpO2 were significantly higher than those in group L(P＜0.05,P＜0.01).At 0.5 h,2 h,4 h and 6 h after surgery,VAS scores in group P were lower than those in group L(P＜0.01)Conclusion Ultrasound-guided PECS Ⅱ block combined with general anesthesia provides satisfactory anesthetic efficacy in patients undergoing resection of benign breast tumors,which has stable intraoperative hemodynamics and mild postoperative pain.关键词
乳腺良性肿瘤切除术/全身麻醉/超声引导下胸神经阻滞/平均动脉压/血氧饱和度/镇痛Key words
resection of benign breast tumor/general anesthesia/ultrasound-guided pectoral nerves block type Ⅱ/mean arterial pressure/oxyhemoglobin saturation/analgesia引用本文复制引用
刘素环,刘印华,全燕,胡剑梅,李刚..超声引导下胸神经阻滞复合全身麻醉用于乳腺良性肿瘤切除术麻醉效果及对血流动力学稳定性的影响[J].临床误诊误治,2026,39(10):33-38,6.基金项目
河北省医学科学研究重点课题计划项目(20241629) （20241629）
秦皇岛市妇幼保健院科技支撑计划项目(202301A274) （202301A274）
