摘要
目的:探究低剂量右美托咪定复合丙泊酚在美容手术中的应用价值。方法:选择2019年4月-2020年4月在遂宁市中心医院就诊后接受美容手术的患者80例作为研究对象。将全部患者根据随机数字表的方法分为人数等同的对照组以及观察组,每组的患者人数均为40例。对照组使用丙泊酚联合舒芬太尼进行麻醉,观察组使用丙泊酚联合右美托咪定进行麻醉。对比两组的血流动力学指标[麻醉诱导前,麻醉后10min,手术完成时的平均动脉压(MAP)、心率(HR)、动脉血氧分压(SpO_(2))]、术后苏醒时间、术后清醒时间、镇痛评分、镇静评分(Ramsay评分)、出手术室方式、不良反应。结果:两组患者在麻醉诱导前、麻醉后10min、手术完成时的MAP、HR、SpO_(2)数据差异均不具有统计学意义(P>0.05)。观察组的术后苏醒时间、术后清醒时间均短于对照组(P<0.05)。观察组术后的镇痛评分、镇静评分均高于对照组(P<0.05)。两组出手术室方式的数据差异无统计学意义(P>0.05)。两组的不良反应发生率数据差异不具有统计学意义(P>0.05)。结论:接受美容手术的患者,采用低剂量右美托咪定复合丙泊酚的麻醉方法,可保证手术过程中血流动力学的稳定,并有助于缩短术后清醒时间,改善术后镇静镇痛的效果,并且安全性良好。
Objective To explore the application value of low dose of dextrometramidine and propofol in cosmetic surgery.Methods 80 patients who underwent cosmetic surgery in Suining Central Hospital from April 2019 to April 2020 were selected as the research objects. According to the method of random number table, all patients were divided into a control group and an observation group with the same number of patients. The number of patients in each group was 40 cases. The control group was anesthetized with propofol combined with sufentanil. The observation group was anesthetized with propofol combined with dexmedetomidine. Compare the hemodynamic indicators of the two groups [mean arterial pressure(MAP), heart rate(HR), arterial partial pressure of oxygen(SpO_(2)) of before induction of anesthesia, 10 minutes after anesthesia, completion of the operation], postoperative recovery time, surgery post-awake time, analgesia score, sedation score(Ramsay score), way out of the operating room, adverse reactions. Results There was no significant difference in MAP, HR and SpO_(2)data between the two groups before anesthesia induction, 10 minutes after anesthesia and after operation(P>0.05). The postoperative recovery time and waking time of the observation group were shorter than those of the control group(P<0.05). The postoperative analgesia score and sedation score of the observation group were higher than those of the control group(P<0.05). There was no significant difference between the two groups(P>0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion For patients undergoing cosmetic surgery, the use of low-dose dexmedetomidine combined with propofol anesthesia can ensure the stability of hemodynamics during the operation, and help shorten the postoperative wake-up time, and improve postoperative sedation and analgesia effect, and good safety.
作者
杨帆
刘虹
蒋超
陈俊
许斌兵
YANG Fan;LIU Hong;JIANG Chao;CHEN Jun;XU Bin-bing(Department of Anesthesiology,Suining City Central Hospital,Suining 629000,Sichuan,China)
出处
《中国美容医学》
CAS
2021年第11期19-22,共4页
Chinese Journal of Aesthetic Medicine
作者简介
通信作者:许斌兵,主任医师,研究方向:小儿麻醉、胸心外科麻醉、体外循环方面,E-mail:xbb995@163.com;第一作者:杨帆,主任医师,研究方向:胸心外科麻醉、体外循环方面,E-mail:yanglifan2@163.com。
