术中使用小剂量右美托咪定对乳腺癌手术患者预后的影响
杨笑萱, 朱珊, 钱程, 储晓英

Effect of intraoperative use of low-dose dexmedetomidine on the prognosis of patients undergoing breast cancer surgery
YANG Xiaoxuan, ZHU Shan, QIAN Cheng, CHU Xiaoying
表1 倾向性评分匹配前2组患者基线特征及围术期资料比较
Tab 1 Comparison of baseline characteristics and perioperative data between the two groups before propensity score matching
ItemDEX group (n=385)Control group (n=273)P value
Age/year54.5±0.652.1±0.70.004
BMI/(kg·m-2)23.2±0.223.3±0.20.002
Chemotherapy/n(%)259 (67.3)180 (65.9)0.742
Radiotherapy/n(%)176 (45.7)127 (46.5)0.871
Hormonal therapy/n(%)236 (61.3)177 (64.8)0.365
ER+/n(%)224 (58.2)171 (62.6)0.258
PR+/n(%)155 (40.3)140 (51.3)0.011
HER2+/n(%)94 (24.4)61 (22.3)0.576
Ki67/n(%)209 (54.3)151 (55.3)0.812
ASA classification/n(%)0.000
206 (53.5)91 (33.3)
179 (46.5)182 (66.7)
TMN stage/n(%)0.937
050 (13.0)31 (11.4)
155 (40.3)106 (38.8)
ⅡA101 (26.2)77 (28.2)
ⅡB36 (9.3)28 (10.3)
43 (11.2)31 (11.4)
Type of surgery/n(%)0.891
Breast-conserving surgery111 (28.8)80 (29.3)
Mastectomy274 (71.2)193 (70.7)
Duration of anesthesia/min64.8±1.161.1±0.90.023
Remifentanil/μg707.7±17.2692.6±19.60.563
Sufentanyl/μg34.5±0.534.2±0.60.638
Propofol/mg142.0±1.2138.6±1.40.074
Cisatracurium/mg19.7±0.219.4±0.30.301
Inhalable anesthetic/n(%)0.169
Sevoflurane183 (47.5)115 (42.1)
Desflurane202 (52.5)158 (57.9)
VAS score when leaving PACU0.6±0.00.6±0.00.342
Propensity score0.31±0.080.25±0.060.006