摘要
目的:观察全程静脉麻醉和静吸复合麻醉两种不同麻醉方式对于乳腺癌术后中性粒细胞及淋巴细胞的影响。方法:采用前瞻性研究方法将100例行手术治疗的乳腺癌患者随机分为两组,A组(n=50)采用全程静脉麻醉,B组(n=50)采用静吸复合麻醉,比较手术前后的外周血中性粒细胞计数(N)、淋巴细胞计数(L)以及中性粒细胞/淋巴细胞比值(NLR)变化情况。结果:两组患者手术前、手术后的血清N、L、NLR值差异有统计学意义(P均<0.05);两组患者手术后的N、L、NLR值差异无统计学意义(P均>0.05)。结论:全程静脉麻醉和静吸复合麻醉两种不同麻醉方式对于乳腺癌术后的N、L、NLR值的影响轻微,建议根据患者的实际情况合理选择麻醉方式。
Objective： To observe the suction compound anesthesia with intravenous anesthesia and two different anesthetic methods for breast cancer postoperative neutrophils and lymphocytes. Methods： A prospective study was conducted. 100 patients with breast cancer were randomly divided into two groups. Group A（n= 50） received total intravenous anesthesia,group B（n = 50） received static inhalation combined anesthesia.The changes of neutrophils count（N）,lymphocyte count（L） and neutrophils/lymphocyte ratio（NLR）were compared before and after the operation. Results： There was significant difference in serum N,L and NLR values between the two groups before and after operation（P 〈 0.05）. There was no significant difference in the value of N,L and NLR between the two groups after operation（P 〉 0.05）. Conclusion： Two different ways of total intravenous anesthesia and intravenous inhalation combined anesthesia have slight effect on the N,L and NLR value of breast cancer after operation. It is suggested that anesthesia should be chosen according to the actual situation of patients.
出处
《河北医学》
CAS
2018年第2期242-245,共4页
Hebei Medicine
基金
四川省医学科研课题
(编号:S16002)
关键词
乳腺癌
全程静脉麻
静吸复合麻醉
中性粒细胞计数
淋巴细胞计数
中性粒细胞淋巴细胞比值
Breast cancer
Total intravenous anesthesia
Static absorption compound anesthesia
Neutrophil count
Lymphocyte count
Neutrophils lymphocyte ratio
