不同麻醉方式对于乳腺癌术后中性粒细胞及淋巴细胞的影响  

The effect of anesthetic techniques on the proportion of neutrophils and lymphocyte in patients with breast cancer after operation

作　　者：阎涛[1] 承耀中[1] 武林鑫[1] 张国华[1] 孙莉[1] 

机构地区：[1]北京协和医学院中国医学科学院肿瘤医院麻醉科,北京100021

出　　处：《中国医刊》2017年第4期49-51,共3页Chinese Journal of Medicine

基　　金：中国医学科学院肿瘤医院院内重点课题(LC2013A18);北京市科技计划课题(Z151100003915109)

摘　　要：目的探讨不同麻醉方式对于乳腺癌术后中性粒细胞/淋巴细胞的影响。方法选择2016年2~8月间本院收治的80例手术治疗的乳腺癌患者。随机分为全凭静脉麻醉及静吸复合麻醉两组,每组各40例。比较两组患者术前及术后外周血中性粒细胞、淋巴细胞及其中性粒细胞淋巴细胞比值。结果术前及术后两组外周血中性粒细胞、淋巴细胞及其中性粒细胞淋巴细胞比值差异均无显著性(P>0.05)。结论全凭静脉麻醉及静吸复合麻醉对于乳腺癌术后外周血中性粒细胞、淋巴细胞及其比值的影响无差异。可以根据患者的具体情况对麻醉方式进行个性化选择。Objective To prospectively investigate the correlation between different anesthetic techniques and the proportion of neutrophils as well as lymphocyte after breast cancer surgery. Method 80 patients who underwent surgery in our hospital from February to August in 2016 were selected for breast cancer treatment. Were randomly divided into total intravenous anesthesia and intravenous anesthesia combined group, each group of 40 eases. The ratio of neutrophil, lymphocyte and neutrophil lymphocyte in peripheral blood of the two groups were compared before and after operation. Result Besides,there was no significant difference in the change of neutrophil, lymphocyte and ratio between the two groups before and after operation （P〉0.05）. Conclusion Total intravenous anesthesia resulted in no difference in peripheral blood neutrophil,lymphocyte and its ratio compared with inhalational anesthesia in patients with breast cancer after operation.Can be based on the specific circumstances of patients with anesthesia to personalize the choice.

关 键 词：乳腺癌 全凭静脉麻醉 静吸复合麻醉 

分 类 号：R614[医药卫生—麻醉学]