CAJ | 학술논문

目的临床分析喉罩通气应用于乳腺癌根治术麻醉中的应用.方法选取我院2009年4月至2011年4月收治的乳腺癌患者70例,按照随机分配的方法,将其分为研究组与对照组,每组35例,研究组给予喉罩通气,对照组给予气管插管通气.对比两组的罗库溴铵与普利麻的用量、清醒与拔管时间,TO(麻醉前)、T1(术后清醒即刻)、T2(拔管即刻)心率、动脉压、恶心呕吐、苏醒期躁动等气道反应.结果经过治疗后,研究组患者罗库溴铵与普利麻的用量明显少于对照组,清醒与拔管时间明显早于对照组,心率与动脉压比对照组平稳,气道刺激明显小于对照组,具有统计学意义(P<0.05).结论针对乳腺癌根治术患者,采用喉罩通气,可减少麻醉药物的用量,血流动地学变化较小,降低气道的刺激反应,使用更为安全,值得临床推广应用.
목적림상분석후조통기응용우유선암근치술마취중적응용.방법선취아원2009년4월지2011년4월수치적유선암환자70례,안조수궤분배적방법,장기분위연구조여대조조,매조35례,연구조급여후조통기,대조조급여기관삽관통기.대비량조적라고추안여보리마적용량、청성여발관시간,TO(마취전)、T1(술후청성즉각)、T2(발관즉각)심솔、동맥압、악심구토、소성기조동등기도반응.결과경과치료후,연구조환자라고추안여보리마적용량명현소우대조조,청성여발관시간명현조우대조조,심솔여동맥압비대조조평은,기도자격명현소우대조조,구유통계학의의(P<0.05).결론침대유선암근치술환자,채용후조통기,가감소마취약물적용량,혈류동지학변화교소,강저기도적자격반응,사용경위안전,치득림상추엄응용.
objective clinical analysis laryngeal mask airway widly used in breast cancer of the application of the anesthesia. Methods select our hospital in April 2009 to April 2011 were 70 patients with breast cancer, according to random distribution method, which is divided into research group and control group, each group 35 examples, the team to give a laryngeal mask airway, the control group give tracheal intubation ventilation. Compared TO two groups of rocuronium Pulitzer and the dosage of Massachusetts, awake and drawing tube time, (anesthesia before), TO T1 (postoperative awake immediate), T2 (decannulation immediate) arterial pressure, and heart rate, nausea and vomiting, awakening period and restless airway responses. Results after treatment, the patient rocuronium Pulitzer and the dosage of the hemp is less than that of the control group, awake and drawing tube time earlier than the control group obviously, heart rate and arterial pressure than the control group smoothly, airway stimulate obviously less than control group, which has statistically significant (P<0.05). Conclusion to breast cancer patients treated, using a laryngeal mask airway, can reduce the dosage of the anesthetic drugs, blood flow geological small changes, lower airway stimulation reaction, use more security, and clinical application.