用不同的麻醉方法对接受隆乳术的患者进行麻醉的效果对比

发布时间：2018-11-20 19:57

【摘要】：目的 :探讨用不同的麻醉方法对接受隆乳术的患者进行麻醉的临床效果。方法 :选取近年来在我院接受隆乳术的81例患者作为研究对象。随机将这些患者分为A组、B组和C组,每组各有27例患者。对A组患者进行静脉全身麻醉联合局部麻醉,对B组患者进行高位硬膜外阻滞麻醉,对C组患者进行局部麻醉。然后,对这3组患者进行麻醉前后不同时间段其HR、MAP和Sp O2等指标的变化情况及其镇痛的效果进行比较。结果:在接受麻醉前后不同的时间段,3组患者的Sp O2指标相比较,差异不显著(p0.05),无统计学意义。在接受麻醉前,3组患者的HR及MAP指标相比较无显著性差异(p0.05),无统计学意义。与A组患者和C组患者相比,B组患者在接受麻醉后不同的时间段其HR及MAP指标变化的幅度均较小,差异显著(p0.05),有统计学意义。在接受麻醉后,A组患者和B组患者的镇痛效果均比较理想,他们在接受手术的过程中均未感到疼痛。在C组患者中有22例患者有疼痛感,在为其追加麻醉药进行镇痛后,其疼痛的症状得到缓解。结论 :与进行局部麻醉和静脉全身麻醉联合局部麻醉相比,对接受隆乳术的患者进行高位硬膜外阻滞麻醉的效果更理想。此法值得在临床上推广应用。
[Abstract]:Objective: to investigate the clinical effect of different anesthetic methods on patients undergoing augmentation mammoplasty. Methods: 81 patients who received augmentation mammoplasty in our hospital in recent years were selected as study objects. These patients were randomly divided into A group, B group and C group with 27 patients in each group. Group A was treated with intravenous general anesthesia combined with local anesthesia, group B with high epidural block and group C with local anesthesia. Then, the changes of HR,MAP and Sp O 2 and the analgesic effect were compared between the three groups before and after anesthesia. Results: there was no significant difference in Sp O 2 between the three groups before and after anesthesia (p0. 05). There was no significant difference in HR and MAP between the three groups before anesthesia (p0. 05). Compared with group A and group C, the changes of HR and MAP in group B were smaller than those in group A and group C (p0.05). After anesthesia, the analgesic effect of both group A and group B was satisfactory, and they did not feel pain during the operation. In group C, 22 patients had a sense of pain, and the pain symptoms were alleviated after analgesia was given to them. Conclusion: compared with local anesthesia and intravenous general anesthesia combined with local anesthesia, high epidural block anesthesia is more effective for patients undergoing augmentation mammoplasty. This method is worth popularizing in clinic.
【作者单位】：黑龙江省杜尔伯特蒙古族自治县人民医院麻醉科;
【分类号】：R614

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