硬膜外麻醉在隆乳手术中的应用效果  

Application effect of epidural anesthesia in breast augmentation surgery

作　　者：张锋 贾德领 郭杰 ZHANG Feng;JIA De-ling;GUO Jie(Zhengzhou xingdu medical beauty hospital, Henan Province, 450016, China)

机构地区：[1]郑州星都医疗美容医院

出　　处：《中国医疗美容》2019年第6期20-24,共5页China Medical Cosmetology

摘　　要：目的评价硬膜外麻醉在隆乳手术中的应用效果。方法研究时段:2018年1月-2019年1月,抽取研究时段内本院收治的60例行隆乳手术患者作为研究对象,回顾所有资料,根据不同的麻醉方式,将60例患者分为对照组、观察组,每组30例。对照组用静脉全麻(丙泊酚与芬太尼),观察组用硬膜外麻醉(0.3%盐酸罗哌卡因)。对比2组血流动力学指标、疼痛程度、不良反应发生率。结果血流动力学指标观察组、对照组相比,差异不具统计学意义,P>0.05。疼痛程度评分、不良反应发生率与对照组相比,观察组较低(有统计学意义)。结论不同麻醉方式在隆乳手术所产生的镇痛效果不同,而硬膜外麻醉效果疼痛程度与不良反应发生率均低较低,安全性较高,临床应用价值较高。Objective To evaluate the effect of epidural anesthesia in breast augmentation surgery.Methods Study period: January 20-February 2019,60 patients undergoing breast augmentation surgery in our hospital during the study period were selected as subjects.All data were reviewed.According to different anesthesia methods,60 patients were divided into 60 patients.The control group and the observation group were 30 cases in each group.In the control group,intravenous anesthesia (propofol and fentanyl) was used,and the observation group was treated with epidural anesthesia (0.3% ropivacaine hydrochloride).The hemodynamic parameters,the degree of pain,and the incidence of adverse reactions were compared between the two groups.Result The difference between the hemodynamic index observation group and the control group was not statistically significant (P>0.05).The pain degree score and the incidence of adverse reactions were lower in the observation group than in the control group,P<0.05 (statistically significant).Conclusion Different anesthesia methods have different analgesic effects in breast augmentation surgery,while epidural anesthesia has lower pain and adverse reaction rate,higher safety,and higher clinical application value.

关 键 词：静脉全麻 硬膜外麻醉 隆乳手术 血流动力学指标 疼痛程度 不良反应发生率 

分 类 号：R614[医药卫生—麻醉学]