咪唑安定镇静遗忘术在隆胸术中的效果观察

目的 探讨咪唑安定能否使病人达到术中良好的镇静和顺行性遗忘作用。 方法 选择隆胸住院病人80例 ,分A、B两组 ,A组用氯胺酮 ,B组用咪唑安定复合氯胺酮静脉麻醉 ,术中观察血流动力学变化与麻醉恢复期情况。结果 在麻醉过程中 ,B组各项观察指标明显优于A组 ,B组的术中知晓及梦幻的发生率为零 ,对手术中的情况无任何记忆。结论 咪唑安定复合静脉麻醉 ,能使病人达到镇静遗忘作用 。

Objective To explore if midazolam can produce excellent sedation and anterograde amnesia in patients undergoing mammaplasty. Methods 80 patients undergoing mammaplasty were randomly divided into 2 groups. Ketamine was applied in group A while midiazolam induction combined with intravenous ketamine anesthesia was used in group B. The change of hemodynamics and recovery conditon of anesthesia were observed during operation. Results All parameters observed in group B were significantly better than those in group A. No awareness and illusion happened in group B during operation .The patients didn't any memory about intraoperative state. Conclusions Because midiazolam induction combined with intravenous ketamine anesthesia can produce complete sedation and amnesia, it is an ideal method of anesthesia for mammaplasty.