复合麻醉在医学美容手术中的应用及效果观察  

Application and Effect Observation of Compound Anesthesia in Medical Cosmetic Surgery

作　　者：刘宽[1] 于松杨 

机构地区：[1]山东省威海市立医院,山东威海264200

出　　处：《中国医疗美容》2014年第2期48-48,36,共2页China Medical Cosmetology

摘　　要：目的:研究分析复合麻醉在医学美容手术中的应用效果。方法:选取我院2011年3月-2013年3月期间收治的74例实施医学美容手术的患者,根据其所用麻醉方式的不同分成对照组与研究组两组,给予对照组采用丙泊酚、咪达唑仑联合芬太尼复合麻醉,给予研究组采用丙泊酚、氯胺酮联合芬太尼复合麻醉。结果:两组患者对于医学美容手术的麻醉效果十分满意,研究组不良反应率为2.7%(1/37),对照组不良反应率为10.8%(4/37),两组相比差异有统计学意义(P<0.05)。且研究组与对照组麻醉后苏醒时间相比差异有统计学意义(P<0.05)。结论:选用丙泊酚、氯胺酮联合芬太尼的复合麻醉方式,操作简单,安全系数高,且美容效果明显,是医学美容手术的首选麻醉方式。Objective:To study The application effect of compound anesthesia in medical cosmetic surgery. Methods:Selecting 74 cases admitted the implementation of medical cosmetic surgery in the hospital during March, 2011 and March, 2013, according to its use of different methods of anesthesia, dividing them into the control group and the observation group, giving the control group propofol, midazolam, joint fentanyl compound anesthesia, giving the observation group propofol and ketamine combined fentanyl compound anesthesia. Results:Patients in the two groups were very satisfied with the anesthesia effect, the adverse reaction rate of the observation group was 2.7% (1/37), the adverse reaction rate of the control group was 10.8% (4/37), and there was statistically significant difference between the two groups(P<0.05). There was statistically significant difference between awakening time in the control group and the observation group(P<0.05). Conclusion:Using propofol and ketamine combined fentanyl compound anesthesia has the advantages of simple operation, high safety coefficient, and obvious cosmetic effect. It is the first choice for medical cosmetic surgery anesthesia.

关 键 词：复合麻醉 丙泊酚 氯胺酮 芬太尼 美容手术 

分 类 号：R614[医药卫生—麻醉学]