异丙酚舒芬太尼静脉复合局部肿胀麻醉在假体隆乳术中的应用

Application of diprivan combining sufentanil in local swelling anesthesia in prosthetic breast augmentation surgery

目的：介绍异丙酚舒芬太尼静脉复合局部肿胀麻醉在硅凝胶假体隆乳术中的应用体会。方法：ASAⅠ-Ⅱ级实施硅凝胶假体隆乳术的患者1337例,给予静注咪达唑仑2~3mg和舒芬太尼12.5~15.0μg行麻醉诱导,接微量注射泵以6~10mg/（kg·h）的速度泵注异丙酚进行麻醉直到手术结束。记录手术过程中各阶段的生理指标及手术不良反应和镇痛满意度。结果：患者在整个手术过程中各时点生理指标比较无显著差异（P〈0.05）,少数患者术后出现轻微头晕恶心,术后总体满意。结论：异丙酚、舒芬太尼复合静脉麻醉配合局部肿胀麻醉在硅凝胶假体隆乳手术中具有较好疗效,值得推广。

Objective： To investigate the effect of diprivan combining sufentanil in local swelling anesthesia in silicone gel prosthetic breast augmentation surgery. Methods： 1337 cases of ASA I -ll patients accepting silicone gel prosthetic breast augmentation surgery were giving midazolam （2-3mg） and sufentanil （12.5-15.0μg） to induce anesthesia and inject diprivan （6-10mg/kg.h） via micro-injection pump. The physical signs, untoward effect and analgesia satisfaction were recorded. Results： The physical signs has no significant difference among patients （P〈0. 05） , a few have slight dizziness disgusting postoperation and has a good overall satisfaction. Conclusion： There is a great effect of diprivan combining sufentanil in local swelling anesthesia in prosthetic breast augmentation surgery.