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目的对喉罩通气全凭吸入七氟醚用于老年乳腺癌改良根治术麻醉中的效果进行分析。方法对88例老年乳腺癌患者均采取乳腺癌改良根治术治疗,根据患者麻醉不同分A、B两组各44例,其中A组为全凭吸入七氟醚,B组静吸复合麻醉。结果两组置入喉罩时MAP较麻醉诱导时明显减低,B组置入喉罩时MAP较A组降低明显,B组置入喉罩时HR降低,并低于A组,P<0.05;其余无显著差异,P>0.05。两组拔除喉罩时间比较,P<0.05;其余指标比较,P>0.05。结论对老年乳腺癌改良根治术患者麻醉中采用喉罩通气全凭吸入七氟醚效果显著。
Objective To evaluate the effect of inhalation of sevoflurane on anesthesia of modified radical mastectomy in elderly patients with laryngeal mask ventilation. Methods A total of 88 elderly patients with breast cancer were treated with modified radical mastectomy. According to the patients’ anesthesia, 44 patients were divided into two groups according to anesthesia. Among them, group A was sevoflurane inhalation alone, and group B was anesthetized by static inhalation. Results When MAP was inserted into laryngeal mask in both groups, MAP was significantly lower than that induced by anesthesia. MAP in group B was significantly lower than that in group A, and HR in group B was lower than that in group A (P <0.05) The rest no significant difference, P> 0.05. Two groups of laryngeal mask removal time comparison, P <0.05; other indicators were compared, P> 0.05. Conclusion The effect of inhalation of sevoflurane on laryngeal mask ventilation in anesthesia of elderly patients with modified radical mastectomy is significant.