首页|异氟醚复合瑞芬太尼麻醉在隆乳术中的临床应用

异氟醚复合瑞芬太尼麻醉在隆乳术中的临床应用

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目的 探讨隆乳术患者应用异氟醚复合瑞芬太尼麻醉的临床效果.方法 选取2023年1月至2024年8月郑州缔莱美医疗美容医院收治的,行假体隆乳术的患者78例,根据麻醉方法不同分为两组,其中采用七氟醚复合瑞芬太尼麻醉的为七氟醚复合瑞芬太尼(SR)组,采用异氟醚复合瑞芬太尼麻醉的为异氟醚复合瑞芬太尼(IR)组,每组39例.统计对比两组术后3h、术后6h、术后12h、术后24h的视觉模拟评分(VAS),对比两组麻醉前(T0)、切皮时(T1)、分离组织时(T2)、植入假体时(T3)、术毕时(T4)的心率、收缩压、舒张压及麻醉前、麻醉后1h、术后1d、术后3d、术后6 d时的去甲肾上腺素(Ne)、皮质醇(Cor)水平,记录对比两组麻醉起效时间、离室时间、苏醒时间及不良反应总发生率.结果 IR组术后3h、6h、12 h的VAS评分低于SR组,差异有统计学意义(P<0.05);IR组T1至T3的心率、收缩压、舒张压波动幅度小于SR组(P<0.05);IR组麻醉后1h、术后1d、术后3 d、术后6 d的Cor、Ne低于SR组,差异有统计学意义(P<0.05);IR组苏醒时间短于SR组,差异有统计学意义(P<0.05);两组麻醉起效时间、离室时间及术后24h的VAS评分及不良反应总发生率比较无统计学意义(P>0.05).结论 隆乳术患者应用异氟醚复合瑞芬太尼麻醉的效果明显,可明显降低疼痛程度,稳定血流动力学,减轻应激反应,减少苏醒时间.
Clinical application of isoflurane combined with remifentanil anesthesia in augmentation mammaplasty
Objective To observe the clinical effect of orbiculectomy in the treatment of congenital entropion and trichiasis of lower eyelid in children.Methods A total of 42 cases of congenital entropion and trichiasis of lower eyelid treated in Zhengzhou University First Affiliated Hospital from January 2023 to May 2024 were studied.All the cases were treated with orbicularis oculi muscle resection,and the operative effect and complication rate were analyzed.Results A total of 54 eyes were operated in 42 children with congenital entropion and trichiasis of lower eyelid,of which 40 eyes were obvious and 14 eyes were effective,no overcorrection or undercorrection occurred.The excellent and good rate of operation was 100.00%.A total of 4 patients had postoperative complications,the complication rate was 9.52%.Conclusions Orbicularis oculi muscle resection has good clinical effect in the treatment of congenital entropion and trichiasis of lower eyelid in children,and can effectively improve the abnormal ocular anatomy,and this operation is safe and has clinical application value.

congenital lower eyelid entropiontrichiasisorbicularis oculi muscle resectionoperation effectcomplication

靳万杰、李小涛

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郑州缔莱美医疗美容医院麻醉科,河南郑州,450000

中国人民解放军第九八九中心医院麻醉科,河南平顶山,467000

隆乳术 异氟醚 瑞芬太尼 VAS 心率 苏醒时间

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(11)