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目的:探讨乳癌根治术采用全麻联合硬膜外阻滞麻醉的麻醉疗效。方法:将我院68例行乳癌根治术患者随机分为两组各34例,观察组采用全麻联合硬膜外阻滞麻醉,对照组仅单纯采用全麻。观察并比较两组麻醉效果。结果:观察组手术时间、苏醒时间均明显少于对照组(P<0.05)。观察组诱导前、插管前、插管后即刻、切皮时及拔管时心率均较对照组无统计学差异(P>0.05)。观察组患者满意度97.1%(33/34),而对照组仅61.8%(21/34),两组满意度比较有统计学差异(x2=12.95,P<0.01)。结论:采用全麻联合硬膜外阻滞麻醉进行乳癌根治术,是一种良好有效的麻醉方法。
Objective: To investigate the effect of general anesthesia combined with epidural block anesthesia in radical mastectomy. Methods: 68 cases of breast cancer radical operation in our hospital were randomly divided into two groups of 34 cases, the observation group was anesthesia combined with epidural anesthesia, the control group only with general anesthesia. Observed and compared two groups of anesthetic effects. Results: The operation time and recovery time in the observation group were significantly less than those in the control group (P <0.05). The observation group before induction, before intubation, immediately after intubation, skin incision and extubation heart rate compared with the control group was no significant difference (P> 0.05). The satisfaction rate of the observation group was 97.1% (33/34), while the control group was only 61.8% (21/34). Satisfaction between the two groups was statistically significant (x2 = 12.95, P <0.01). Conclusion: General anesthesia combined with epidural anesthesia for radical mastectomy is a good and effective method of anesthesia.