摘要
目的:观察七氟醚吸入麻醉联合喉罩在乳腺日间手术中的应用效果。方法:选择ASAⅠ~Ⅱ级需行乳腺纤维瘤切除术的患者40例,随机分为七氟醚-喉罩组(S组)和异丙酚-气管导管组(P组),分别采用七氟醚和异丙酚进行麻醉诱导与维持,使用喉罩和气管导管维持通气。观察记录两组患者麻醉中的血流动力学变化,记录睫毛反射消失时间、意识恢复时间及离院时间,观察并随访注射痛、体动、术中知晓、咽喉疼痛、恶心呕吐等不良反应。结果:S组患者的血流动力学明显较P组稳定(P<0.05);S组的睫毛反射消失时间稍长于P组,但其意识恢复时间及离院时间明显短于后者(P<0.05);S组无注射痛,其苏醒期躁动及咽痛的发生率亦明显低于P组(P<0.05)。结论:七氟醚吸入麻醉联合喉罩可为乳腺日间手术提供一种安全、有效、快捷的麻醉方法。
Objective:To observe the clinical effect of sevoflurane inhalation anaesthesia with laryngeal mask in outpatient breast surgery.Methods:Forty ASA Ⅰ～Ⅱ patients undergoing breast fibroma operation were randomly divided into two groups:sevoflurane-laryngeal mask(group S)and propofol-tracheal catheter(group P).Sevoflurane and propofol were used in the induction and maintenance of anesthesia respectively.Laryngeal mask or tracheal catheter were used for airway maintenance.The hemodynamics during anesthesia were ...
出处
《华西医学》
CAS
2008年第5期1005-1006,共2页
West China Medical Journal
关键词
七氟醚
喉罩
日间手术
乳腺
sevoflurane
laryngeal mask
day surgery
breast
