摘要
目的观察右美托咪定联合丙泊酚全凭静脉麻醉在颅颌面整形手术中麻醉效果。方法选选择2018年7月~2020年6月于我院行颅颌面整形的患者作为研究对象。单纯丙泊酚全凭静脉麻醉63例纳入对照组;右美托咪定联合丙泊酚全凭静脉麻醉85例纳入观察组。记录和比较两组患者不同时间点的平均动脉压(MAP)、心率(HR)。记录时间点分别为麻醉诱导前(T0)、气管插管时(T1),手术开始30min时(T2)、苏醒睁眼时(T3)。不良反应包括头晕、恶心呕吐、低氧血症等。结果T1-T3时两组患者MAR和HR均属于较低水平。同一时间点两组MAP和HR比较差异并无统计学意义(P>0.05)。观察组术后拔管时间平均为(6.5±2.7)min短于对照组(9.3±3.1)min,差异有统计学意义(P<0.05)。观察组术后苏醒时间(5.8±2.1)min短于对照组(8.6±2.6)min,差异有统计学意义(P<0.05)。观察组术后恶心呕吐4例,低于对照组11例,差异有统计学意义(P<0.05)。结论右美托咪定联合丙泊酚全凭静脉麻醉在颅颌面整形手术麻醉效果较好,术后苏醒快,不良反应少。
Objective To observe the effect of dexmedetomidine combined with propofol total intravenous anesthesia in craniofacial plastic surgery.Methods patients with craniofacial plastic surgery in our hospital from July 2018 to June 2020 were selected as the research objects.Sixty three patients with propofol anesthesia were included in the control group;85 cases of total intravenous anesthesia with dexmedetomidine and propofol were included in the observation group.The mean arterial pressure(map)and heart rate(HR)of the two groups at different time points were recorded and compared.The recorded time points were before anesthesia induction(T0),during tracheal intubation(T1),30 min after operation(T2),and after waking up and opening eyes(T3).Adverse reactions included dizziness,nausea and vomiting,hypoxemia,etc.Results After extubation for 10 minutes,the SBP and DBP indexes of the two groups were decreased compared with those before anesthesia,while the HR indexes were increased;Among them,the improvement degree of each index in the control group was less than that in the observation group(P<0.05),and the extubation time in the control group was(24.311±89)min,recovery time(28.054±17)min,which were significantly shorter than those in the observation group(9.265±3.57)min(11.49±32)min(P<0.05);The Ramsay and VAS scores of the observation group were higher than those of the observation group 10 min after extubation and 20 min after recovery(P<0.05).The adverse reaction rate of the control group was 18.46%,which was higher than 9.54%of the observation group(P<0.05)Conclusion Dexmedetomidine combined with propofol total intravenous anesthesia in craniomaxillofacial plastic surgery anesthesia effect is better,less postoperative adverse reactions.
作者
刘韩
孟培
余慧强
LIU Han;MENG Pei;YU Hui-qiang(Department of Anesthesiology,the second people's Hospital of Jiaozuo,Henan Province,454000,China)
出处
《中国医疗美容》
2021年第6期18-20,共3页
China Medical Cosmetology
关键词
颅颌面整形手术
右美托咪定
全凭静脉麻醉
丙泊酚
craniofacial plastic surgery
Dexmedetomidine
Total intravenous anesthesia
propofol
