舒芬太尼复合丙泊酚麻醉在腰腹部微创吸脂手术中的临床应用  

Application analysis of sufentanil combined with propofol anesthesia in minimally invasive liposuction surgery for the waist and abdomen

作　　者：张伟 孙鼐[1] 杨晓晨 ZHANG Wei;SUN Nai;YANG Xiaochen(Department of Anesthesiology,Zhengzhou Central Hospital,Henan Province,450007,China)

机构地区：[1]郑州市中心医院麻醉科,河南郑州450007

出　　处：《中国医疗美容》2024年第11期45-48,共4页China Medical Cosmetology

摘　　要：目的探讨舒芬太尼复合丙泊酚麻醉在腰腹部微创吸脂手术中的临床应用效果。方法选取2020年5月至2023年12月郑州市中心医院收治的68例腰腹部微创吸脂手术患者,按治疗方法不同分为对照组和观察组,每组34例。对照组患者采用瑞芬太尼复合丙泊酚麻醉,观察组患者采用舒芬太尼复合丙泊酚麻醉,比较两组患者的麻醉效果及不良反应。结果观察组患者麻醉优良率高于对照组的,差异有统计学意义(P<0.05);观察组患者的术中心率(HR)、平均动脉压(MAP)高于对照组,差异有统计学意义(P<0.05);不良反应发生率低于对照组35.29%,差异有统计学意义(P<0.05)。结论腰腹部微创吸脂手术中行舒芬太尼复合丙泊酚麻醉,可取得较好的麻醉效果,麻醉优良率高,生命体征变化较小,不良反应少。Objective To observe the application effect of sufentanil combined with propofol anesthesia in minimally invasive liposuction surgery in the lower back and abdomen.Methods A total of 68 patients with lumbar and abdominal minimally invasive liposuction surgery treated in Zhengzhou Central Hospital from May 2020 to December 2023 were selected and divided into control group and observation group according to different treatment methods,with 34 cases in each group.The control group was anesthetized with remifentanil combined with propofol,and the observation group was anesthetized with sufentanil combined with propofol.The anesthetic effect and adverse reactions of the two groups were compared.Results The excellent and good rate of anesthesia in the observation group was higher than that in the control group,and the difference was statistically signifificant(P<0.05);The HR and map of the observation group were higher than those of the control group,and the differences were statistically signifificant(P<0.05);The incidence of adverse reactions in the treatment group was 35.29%lower than that in the control group,and the difference was statistically signifificant(P<0.05).Conclusions The use of sufentanil combined with propofol anesthesia in minimally invasive liposuction surgery for the waist and abdomen can achieve good anesthesia results,with a high rate of excellent anesthesia,minimal changes in vital signs,and fewer adverse reactions.

关 键 词：腰腹部微创吸脂手 舒芬太尼 丙泊酚 复合麻醉 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]