摘要
目的对比分析两种麻醉方式在支气管肿瘤冷冻术中的麻醉效果及不良反应。方法选取2014年2月至2015年1月间收治的54例支气管肿瘤患者,所有患者均行支气管肿瘤冷冻术,采用随机数字表法将患者分为研究组和对照组,每组27例。研究组患者行气管内插管全身麻醉法,对照组患者行静脉镇静加气管内表面麻醉法。观察患者手术前后的心率、血氧饱和度、平均动脉压以及术后出现的不良反应。结果研究组和对照组患者术前心率、血氧饱和度和平均动脉压差异无统计学意义(P>0.05)。对照组患者在冷冻后3、30 min和冷冻完毕时的心率显著快于研究组(P<0.05),对照组在冷冻后3、30 min时的平均动脉压明显高于研究组(P<0.05)。研究组和对照组患者的血氧饱和度差异无统计学意义(P>0.05)。对照组患者不良反应发生率也显著高于研究组(P<0.05)。结论气管内插管全身麻醉相对静脉镇静加气管内表面麻醉法更好,患者发生不良反应更少,值得推广。
Objective To analyze the efficacy and adverse reactions in bronchial tumor cryotherapy of two types of anesthesia methods. Methods From February 2014 to January 2015,54 patients with bronchial tumor were enrolled in the study. All patients were performed with bronchial tumor cryotherapy and they were randomly divided into the research group and control group,with 27 cases in each group. The patients in the control group accepted endotracheal intubation general anesthesia method and the patients in the research group accepted intravenous sedation and endotracheal surface anesthesia method. Before and after surgery,heart rate,blood oxygen saturation,mean arterial pressure and the adverse reactions between the groups were ompared. Results Preoperative heart rate,blood oxygen saturation and mean arterial pressure between the two groups had no significant difference（ P〈0. 05）; After frozen 3 min,30 min and frozen completely the three time points,the patients in the control group was significantly faster than that of the research group（ P〈0. 05）. The mean arterial pressure in frozen after 3 min,30 min of the control group was significantly higher than that of the research group（ all P〈0. 05）; The blood oxygen saturation in each time point between the two groups had no significant differences（ P〈0. 05）; The adverse reactions of the control group were higher than those of the research group（ P〈0. 05）. Conclusions Endotracheal intubation general anesthesia with endotracheal surface anesthesia could achieve good anesthesia effects and adverse reactions are less. And it is worthy of popularizing in bronchial tumor cryotherapy.
出处
《中国肿瘤临床与康复》
2015年第9期1041-1043,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
支气管肿瘤
冷冻术
麻醉
Bronchial neoplasms
Cryotherapy
Anesthesia
