监测麻醉用于门诊隆胸术的观察

Monitored anesthetical care in clinical mammary augmentation

目的 :观察监测麻醉 (MAC)用于门诊隆胸术是否优于传统的区域阻滞麻醉。方法 :32例受术者分为MAC组和对照组 (Con) ,MAC组给予芬太尼、异丙酚后行区域阻滞麻醉 ;对照组行传统的区域阻滞麻醉。结果 :麻醉效果 :MAC组优良率高于Con组P <0 .0 1;MAP和HR的改变 :MAC组P >0 .0 5 ;Con组术中高于术前P <0 .0 5 ;呼吸 :两组的SpO2 最低值比较P >0 .0 5 ;局麻药毒性反应 :Con组高于MAC组P <0 .0 1;术毕至离院时间 :PADSS评分≥ 9分 ,所需的时间≥ 12 0min ,两组均无 1例。结论

Objective:To investigate whether monitored anesthetical care(MAC) is better than traditional regional anesthesia in mammary augmentation surgery.Methods:Thirty two patients,American Society Anesthesia (ASA) Ⅰ～Ⅱ,undergoing mammary augmentation surgery were randomly divided into two groups,either MAC or control.MAC group was administered with Fentanyl and Propofol plus regional anesthesia.Control group was administered with traditional regional anesthesia only.Results:The efficacy of anesthetization in MAC group was better than that in control group(P<0.01).There were no significant difference in mean artery pressure (MAP) and heart rate (HR) between the MAC and control group,but MAP and HR were significantly higher in control group compare the base rate of pre-operation with during the operation and post operation(P<0.05).The rate of breath and percentage of saturation pulse oxygen(SpO_2) showed no significant differences between two groups.The rate of toxic reaction of local anesthetics was lower in MAC group than that of control group(P<0.01).The patients were assessed for the length of time from the end of operation to the discharge from hospital,(PAOSS Score≥9,time≤120 min).The results showed no significant difference.Conclusion:MAC is better than traditional regional anesthesia.