常规全麻与联合艾司氯胺酮麻醉方案对口腔颌面外科短时间手术患者麻醉效果及苏醒质量的观察
Anaesthetic effects and recovery quality in patients undergoing short-term oral and maxillofacial surgery under conventional general anesthesia and its combination with esketamine anesthesia
汪启明 1潘亮2
作者信息
- 1. 上饶市人民医院麻醉科,江西 上饶 334000
- 2. 上饶市人民医院口腔科,江西 上饶 334000
- 折叠
摘要
目的:观察常规全麻与联合艾司氯胺酮麻醉方案对口腔颌面外科短时间手术患者麻醉效果及苏醒质量.方法:选取 2022 年 1 月至 2024 年 8 月于本院接受口腔颌面外科短时间手术的患者 60 例,依据奇偶数分组法随机分为常规组和联合组(n=30).常规组采用常规全麻,联合组在常规全麻的基础上联合艾司氯胺酮 0.25 mg·kg-1 麻醉.比较两组患者麻醉效果及苏醒质量,并使用心电监护仪监测麻醉诱导前(T0)、麻醉诱导后(T1)、插管时(T2)、插管后 3 min(T3)、手术结束时(T4)、拔管后即刻(T5)的平均动脉压(Mean arterial pressure,MAP)及心率(Heart rate,HR)指标,记录不良反应发生情况.结果:联合组麻醉起效时间、麻醉苏醒时间及呼吸恢复时间早于常规组,丙泊酚用量少于常规组(P＜0.05).与T0 时比较,常规组T1～T4 的MAP及T1～T5 时的HR显著降低,联合组T1、T3、T4 时的MAP及T1～T4 时的HR显著降低,且组间比较,T1 时常规组的MAP及HR低于联合组(P＜0.05).联合组不良反应发生 3(10.00%)例,低于常规组不良反应发生 10(33.33%)例(P＜0.05).结论:常规全麻联合艾司氯胺酮麻醉能改善麻醉效果和苏醒质量,有助于患者血流动力学稳定,并减少不良反应.
Abstract
Objective:To observe the anesthetic effect and recovery quality of patients undergoing short-term oral and maxillofacial surgery under general anesthesia and combined with esketamine anesthesia.Methods:A total of 60 patients who underwent short-term oral and maxillofacial surgery in our hospital from January 2022 to August 2024 were selected and randomly divided into a conventional group and a combined group(n=30)according to the odd-even number grouping method.The conventional group underwent general anesthesia,while the combined group underwent general anesthesia combined with esketamine 0.25 mg·kg-1.The anesthesia effect and recovery quality of the two groups were compared,and the mean arterial pressure(MAP)and heart rate(HR)were monitored using an electrocardiogram monitor before anesthesia induction(T0),after anesthesia induction(T1),during intubation(T2),3 minutes after intubation(T3),at the end of surgery(T4),and immediately after extubation(T5).The occurrence of adverse reactions was recorded.Results:The onset time of anesthesia,recovery time of anesthesia,and recovery time of breathing in the combined group were earlier than those in the conventional group,and the amount of propofol used was less than that in the conventional group(P<0.05).Compared with T0,MAP at T1-T4 and HR at T1-T5 in the conventional group significantly decreased,and MAP at T1,T3,and T4 and HR at T1-T4 in the combined group significantly decreased.Furthermore,compared between groups,MAP and HR at T1 in the conventional group were lower than those in the combined group(P<0.05).The incidence of adverse reactions in the combined group was 3(10.00%),which was lower than the incidence of adverse reactions in the conventional group,which was 10(33.33%)(P<0.05).Conclusion:Conventional general anesthesia combined with esketamine anesthesia can improve the anesthesia effect and recovery quality,help stabilize the patient's hemodynamics,and reduce adverse reactions.
关键词
口腔颌面外科短时间手术/常规全麻/艾司氯胺酮/麻醉效果/苏醒质量Key words
Short-term oral and maxillofacial surgery/Conventional general anesthesia/Esketamine/Anesthesia effect/Recovery quality引用本文复制引用
出版年
2024
NETL
NSTL
万方数据