不同麻醉方式在30例隆乳手术中的应用效果观察  

The observation of different anesthesia methods used in 30 cases of augmentation mammoplasty

作　　者：司小强[1] 杨国虎[1] 

机构地区：[1]甘肃省人民医院整形美容科,甘肃兰州730000

出　　处：《中国美容医学》2014年第3期180-182,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：观察在隆乳手术中,低浓度甲磺酸罗哌卡因行硬膜外麻醉与静脉全麻的应用效果.方法：将30例行乳晕切口假体置入隆乳术的女性随机分为两组,Ⅰ组用低浓度甲磺酸罗哌卡因行硬膜外麻醉,Ⅱ组用芬太尼和丙泊酚行静脉全麻,观察且记录两组患者于术后即刻、术后25min、术后60min伤口的疼痛情况（采用VAS标准：0分为无疼,1～3分为轻度疼痛,4～6分为中度疼痛,7～10分为重度疼痛）.最后,在手术后2h内密切观察患者呼吸抑制、恶心、呕吐等不良反应的发生情况.结果：Ⅰ组的麻醉止痛效果优于Ⅱ组,患者术后2h内不良反应发生情况明显低于Ⅱ组.结论：与静脉全麻相比,低浓度甲磺酸罗哌卡因行硬膜外麻醉这种麻醉的效果更好.Objective To compare the efficacy of ropivacaine mesilate epidural anesthesia and fentanyl-propofui intravenous anesthesia for augmentation mammoplasty.Methods 30 ASA Ⅰ/Ⅱ patients undergoing augmentation mammoplasty were randomly divided into 2 groups,group Ⅰ received ropivacaine mesilate epidural anesthesia,and group Ⅱ received fentanyl-propofui intravenous anesthesia,the perioperative anesthesia effect and the adverse reaction after postoperative 2h were observed.Results Group Ⅰ had better perioperative anesthesia effect and less adverse reaction than group Ⅱ.Conclusion The efficacy of ropivacaine mesilate epidural anesthesia is better than fentanyl-propofui intravenous anesthesia.

关 键 词：隆乳术 硬膜外麻醉 静脉全麻 

分 类 号：R655.8[医药卫生—外科学]