动脉置管监测血压在面部整形美容局麻手术中的应用  

Application of Arterial Catheter Monitoring Blood Pressure in Patients with Facial Plastic Surgery Under Local Anesthesia

作　　者：郭丽娜[1] 刘均英[2] 彭万忠[2] 姜洋 王爱丽 郭学敏 GUO Li-na;LIU Jun-ying;PENG Wan-zhong;JIANG Yang;WANG Ai-li;GUO Xue-min(Department of Medical Plastic and Cosmetic,Cangzhou Central Hospital,Cangzhou 061000,Hebei,China;Department of Internal Medicine-Cardiovascular,Cangzhou Central Hospital,Cangzhou 061000,Hebei,China)

机构地区：[1]沧州市中心医院医学整形美容科,河北沧州061000 [2]沧州市中心医院心血管内科,河北沧州061000

出　　处：《中国美容医学》2021年第4期98-101,共4页Chinese Journal of Aesthetic Medicine

基　　金：沧州市重点研发计划项目(编号:183302089;项目:有创血压监测在胸痛中心建设的应用研究及意义)。

摘　　要：目的:探讨动脉置管监测血压在面部整形美容局麻手术中的应用价值。方法:2016年11月-2019年3月选择在笔者医院进行面部整形美容局麻手术患者78例,根据随机数字表法分为观察组与对照组各39例。所有患者都给予局麻手术,对照组给予袖带法监测血压;观察组给予动脉置管监测血压,同时在术中15min也给予了袖带法测量血压。记录两组监测血压的效果。结果:两组患者术前即刻、术中15min与术后即刻的收缩压、舒张压在组内与组间比较差异都无统计学意义(P>0.05)。在观察组中,动脉置管与袖带法监测血压的误差都在±5.0mmHg,属于可信区间误差范围内。观察组术后3d的疼痛分级与对照组比较差异无统计学意义(P>0.05)。对照组在血压监测中未出现任何并发症,观察组出现1例血肿与1例感染,发生率为5.1%,组间比较差异无统计学意义(P>0.05)。结论:动脉置管监测血压在面部整形美容局麻手术中的应用依然具有很好的可靠性与安全性,能追踪围手术期血压的变化,为保障患者的手术安全提供参考。Objective To investigate the values of arterial catheter monitoring of blood pressure in patients with facial plastic surgery under local anesthesia.Methods From November 2016 to March 2019,78 patients with facial plastic surgery and local anesthesia were selected from our hospital and were equally divided into the observation group and the control group accorded to the random number table method.All patients were given local anesthesia,the control group were given cuff method to monitor blood pressure;the observation group were given arterial catheter to monitor blood pressure,and the cuff method were also used to measure blood pressure at intraoperative 15 minutes.The effects of monitoring blood pressure were recorded in both groups.Results There were no significant differences in the systolic and diastolic blood pressure between the two groups immediately before surgery,1intraoperative 15 minutes,and immediately after surgery(P>0.05).In the observation group,the error of monitoring the blood pressure by the arterial catheter and the cuff method were between±5.0mmHg,which were within the range of the confidence interval error.There were no significant difference in the pain grading compared between the observation group and the control group at 3 days after operation(P>0.05).There were no complication in the blood pressure monitoring in the control group.There were one patient of hematoma and one patient of infection in the observation group,the incidence rates were 5.1%,and there were no significant difference compared between the two groups(P>0.05).Conclusion The application of arterial catheter monitoring blood pressure in patients with facial plastic surgery and local anesthesia is still very reliable and safe.It can track the perioperative blood pressure and provide reference for the safety of patients.

关 键 词：动脉置管 血压监测 面部整形美容 局部麻醉 

分 类 号：R622[医药卫生—整形外科]