异丙酚复合芬太尼静脉全麻在隆乳术中的应用

Application of propofol and fentanyl in the mammaplasty

目的:观察异丙酚、芬太尼复合静脉全麻应用于门诊隆乳手术的麻醉效果。方法:ASAI～II级门诊行隆乳手术的患者60例,麻醉前30min给予阿托品0.5mg,诱导用芬太尼0.1mg,咪唑安定2mg,然后接微量注射泵按3～8mg/kg/h的速度泵注异丙酚达所需麻醉深度并维持,分离胸大肌时加芬太尼0.05mg,手术缝合时停止泵注异丙酚。记录麻醉前、麻醉后、手术开始时、分离胸大肌时、术毕时的SBP、DBP、SPO2、HR及术毕清醒时间,术中记忆、术后头晕、恶心、呕吐的发生例数。结果:组内各时点SBP、DBP、SPO2、HR比较无显著差异(P>0.05),24例苏醒期间有轻微头晕,8例有轻恶心,但无呕吐。结论:异丙酚复合芬太尼用于隆乳手术的麻醉镇静、镇痛效果好,过程平稳,对呼吸、循环功能干扰小,不良反应少,是一种较理想的麻醉方法。

Objective Observation of the effect of complex intravenous anesthesia combining propofol and fentanyl in mammaplasty. Methods 60 patients with ASA grade I^II received breast swelling operation.Thirty minutes before anesthesia,0.5mg atropine was injected, and induced with 0.1mg fentanyl and 2mg midazole valium,then injected propofol with micro syring pump with a speed of 3～8ml/kg/h to achieve the required depth of anesthesia and maintained. During the seperation of musculus pectoralis major, another 0.05mg fentanyl was injected at the time of suture, stop the injection of propofol. Record the SBP,DBP,SPO2,HR and the time of consciousness at the time of anesthesia,after anesthesia, the begining of operation,the time of musculus pectoralis major and the end of operation. Results There is no significant difference of SBP, DBP, SPO2, HR at the various recording time. 24 patients had slight dizziness, 8 patients had slight nausea at the time of consciousness. Conclusion Complex intravenous anesthesia combining propofol and fentanyl is an ideal anesthesia method in mammaplasty,which had good effect of anesthesia and analgesia.The course of operation are smooth, the side effect and the influence on the respiratory and circulative function are little.