不同麻醉方式在30例隆乳手术中的应用效果观察

目的:观察在隆乳手术中,低浓度甲磺酸罗哌卡因行硬膜外麻醉与静脉全麻的应用效果。方法:将30例行乳晕切口假体置入隆乳术的女性随机分为两组,Ⅰ组用低浓度甲磺酸罗哌卡因行硬膜外麻醉,Ⅱ组用芬太尼和丙泊酚行静脉全麻,观察且记录两组患者于术后即刻、术后25min、术后60min伤口的疼痛情况(采用VAS标准:0分为无疼,1~3分为轻度疼痛,4~6分为中度疼痛,7~10分为重度疼痛)。最后,在手术后2h内密切观察患者呼吸抑制、恶心、呕吐等不良反应的发生情况。结果:Ⅰ组的麻醉止痛效果优于Ⅱ组,患者术后2h内不良反应发生情况明显低于Ⅱ组。结论:与静脉全麻相比,低浓度甲磺酸罗哌卡因行硬膜外麻醉这种麻醉的效果更好。

The observation of different anesthesia methods used in 30 cases of augmentation mammoplasty

Objective To compare the efficacy of ropivacaine mesilate epidural anesthesia and fentanyl-propofui intravenous anesthesia for augmentation mammoplasty.Methods 30 ASA Ⅰ/Ⅱ patients undergoing augmentation mammoplasty were randomly divided into 2 groups,group Ⅰ received ropivacaine mesilate epidural anesthesia,and group Ⅱ received fentanyl-propofui intravenous anesthesia,the perioperative anesthesia effect and the adverse reaction after postoperative 2h were observed.Results Group Ⅰ had better perioperative anesthesia effect and less adverse reaction than group Ⅱ.Conclusion The efficacy of ropivacaine mesilate epidural anesthesia is better than fentanyl-propofui intravenous anesthesia.