喉罩全身麻醉复合超声引导下胸椎旁神经阻滞在乳腺癌根治术的麻醉及术后镇痛中的应用  

Application of Laryngeal Mask General Anesthesia Combined with Ultrasound-guided Parathoracic Nerve Block in Anesthesia and Postoperative Analgesia for Radical Mastectomy of Breast Cancer

作　　者：刘伟[1] 李文波[1] 赵丽[1] 田春梅[1] 韩思阳[1] 苑妍新[1] LIU Wei;LI Wen-bo;ZHAO Li;TIAN Chun-mei;HAN Si-yang;YUAN Yan-xin(Daqing Longnan Hospital(The Fifth Affiliated Hospital of Qiqihar Medical College),Daqing,Heilongjiang Province,163453 China)

机构地区：[1]大庆龙南医院(齐齐哈尔医学院第五附属医院),黑龙江大庆163453

出　　处：《中外医疗》2020年第21期59-61,共3页China & Foreign Medical Treatment

摘　　要：目的探究喉罩全身麻醉复合超声引导下胸椎旁神经阻滞在乳腺癌根治术麻醉与术后镇痛中的运用状况。方法2018年9月—2019年10月共方便选取该院81例乳腺癌根治术患者进行该次研究,选用电脑随机数字法,将研究对象分为两组,对比组40例,研究组41例,对比组进行气管插管静吸与全身麻醉,研究组进行喉罩全身麻醉复合超声引导下胸椎旁神经阻滞麻醉,分析两组的动脉血氧分压、平均动脉压、心率、芬太尼使用量、术后苏醒时间、术后疼痛评分。结果研究组的动脉血氧分压为(98.3±0.7)mmHg,对比组为(94.6±0.9)mmHg;研究组平均动脉压为(112.2±5.7)mmHg,对比组为(97.4±5.8)mmHg;研究组心率为(77.4±2.7)次/min,对比组为(70.4±3.2)次/min;研究组芬太使用量为(162.5±12.4)μg,对比组为(482.3±19.4)μg;研究组苏醒时间为(30.2±6.4)min,对比组为(39.4±8.2)min;研究组术后疼痛评分为(3.4±0.6)分,对比组为(4.1±0.5)分(P<0.05)。结论在乳腺癌根治术麻醉与术后镇痛中进行喉罩全身麻醉复合超声引导下胸椎旁神经阻滞麻醉,能够更好地稳定患者基本生命指标,减少芬太尼使用量,减短苏醒时间,降低疼痛评分,在实际临床中的运用效果较好。Objective To explore the application status of laryngeal mask general anesthesia combined with ultrasound-guided parathoracic nerve block in anesthesia and postoperative analgesia for breast cancer radical surgery.Methods From September 2018 to October 2019,a total of 81 patients with radical breast cancer surgery in the hospital were conveniently selected for this study.The computer random number method was used to divide the research subjects into 2 groups and 40 cases in the comparison group.41 cases in the study group,the comparison group underwent endotracheal intubation and general anesthesia,and the study group underwent laryngeal mask general anesthesia combined with ultrasound-guided parathoracic nerve block anesthesia to analyze the arterial blood oxygen partial pressure,mean arterial pressure,and heart rate,fentai dosage,postoperative recovery time,postoperative pain score.Results The results showed that:the arterial blood oxygen partial pressure in the study group was(98.3±0.7)mmHg,the comparison group was(94.6±0.9)mmHg;the average arterial pressure in the study group was(112.2±5.7)mmHg,and the comparison group was(97.4±5.8)mmHg;the heart rate of the study group was(77.4±2.7)beats/min,the comparison group was(70.4±3.2)beats/min;the use amount of fentai in the study group was(162.5±12.4)μg,and the comparison group was(482.3±19.4)μg;the recovery time of the study group was(30.2±6.4)min,the comparison group was(39.4±8.2)min;the postoperative pain score of the study group was(3.4±0.6)points,the comparison group was(4.1±0.5)points(P<0.05).Conclusion In the anesthesia of radical mastectomy of breast cancer and postoperative analgesia,combined laryngeal mask general anesthesia combined with ultrasound-guided parathoracic nerve block anesthesia can better stabilize the patient's basic life indicators,reduce the use of fentai,and shorten the recovery time,reduce the pain score,it has a better application effect in actual clinical practice.

关 键 词：喉罩全身麻醉 超声引导 胸椎旁神经阻滞 乳腺癌根治术麻醉 

分 类 号：R5[医药卫生—内科学]