静脉麻醉复合局部肿胀麻醉在假体隆乳术中的应用  

Application of intravenous anesthesia combined with local swelling anesthesia in augmentation mammoplasty

作　　者：孟培 刘韩 MENG Pei;LIU Han(Jiaozuo Second People's Hospital,Henan Province,454000,China)

机构地区：[1]焦作市第二人民医院,河南焦作454000

出　　处：《中国医疗美容》2020年第12期37-39,共3页China Medical Cosmetology

摘　　要：目的探讨假体隆乳术最佳麻醉方法。方法选择2019年1月-2020年5月于本院行假体隆乳术求美者为研究对象。其中52例采用单纯静脉麻醉者纳入静脉组,将45例单纯肿胀麻醉者纳入肿胀组,将40例静脉麻醉复合局部肿胀麻醉者纳入复合组。结果3组患者T1时MAP、HR比较差异无统计学意义。与肿胀组相比,复合组和静脉组在T2-T5时MAP和HR均低于肿胀组,差异具有统计学意义(P<0.05)。T4时,复合组MAP和HR均低于其他两组,差异有统计学意义(P<0.05)。T2、T3、T5时复合组和静脉组MAP和HR比较差异无统计学意义(P>0.05)。复合组手术时间短于静脉组,差异有统计学意义(P<0.05)。静脉组术中出血量高于复合组和肿胀组,差异有统计学意义(P<0.05)。复合组术后恶心3例,呕吐1例,眩晕1例。静脉组发生恶心4例,呕吐2例,眩晕2例。肿胀组术后疼痛明显5例。结论静脉麻醉复合肿胀麻醉可满足假体隆乳术的镇痛要求,更利于手术操作,并明显降低手术出血量。Objective To explore the best anesthesia method for augmentation mammoplasty.Methods From January 2019 to may 2020 in our hospital for prosthetic augmentation mammoplasty beauty as the research object.Among them,52 patients with simple intravenous anesthesia were included in the intravenous group,45 patients with simple swelling anesthesia were included in the swelling group,and 40 patients with intravenous anesthesia combined with local swelling anesthesia were included in the compound group.Results There was no significant difference in map and HR at T1 among the three groups.Compared with the swelling group,map and HR at t2-t5 in the compound group and vein group were lower than those in the swelling group,and the difference was statistically significant(P<0.05).At T4,map and HR in the compound group were lower than those in the other two groups,and the difference was statistically significant(P<0.05).At T2,T3 and T5,there was no significant difference in map and HR between compound group and intravenous group(P>0.05).The operation time of the composite group was shorter than that of the intravenous group,and the difference was statistically significant(P<0.05).The intraoperative blood loss of vein group was higher than that of compound group and swelling group,and the difference was statistically significant(P<0.05).There were 3 cases of nausea,1 case of vomiting and 1 case of vertigo in the compound group.In the intravenous group,nausea occurred in 4 cases,vomiting in 2 cases and vertigo in 2 cases.In swelling group,postoperative pain was obvious in 5 cases.Conclusion Intravenous anesthesia combined with tumescent anesthesia can meet the analgesic requirements of augmentation mammoplasty,which is more conducive to the operation,and can significantly reduce the amount of bleeding.

关 键 词：假体隆乳术 静脉麻醉 肿胀麻醉术 

分 类 号：R614[医药卫生—麻醉学]