右美托咪定在隆胸术中的应用

The application of dexmedetomidine in breast augmentation operation

目的探讨右美托咪定复合丙泊酚、芬太尼联合肿胀麻醉在隆胸手术中的安全性与有效性。方法择期隆胸患者60例,随机等分为两组,D组复合应用右美托咪定、丙泊酚、芬太尼联合肿胀麻醉,C组复合应用丙泊酚、芬太尼联合肿胀麻醉。结果 D组较C组患者丙泊酚和芬太尼用药量分别减少29.2%和28.5%,辅助呼吸次数、芬太尼诱导时呛咳发生率降低,心动过缓发生率高,患者与医生的满意度高(P<0.05)。结论右美托咪定复合丙泊酚、芬太尼联合肿胀麻醉用于隆胸手术安全有效。

Objective To investigate the safety and effectiveness of dexmedetomidine, propofol and fentanyl com- bined with tumescent local anesthesia in breast augmentation operation. Methods 60 patients to undergo breast aug- mentation operation were selected and randomly divided into 2 groups.Group D was given dexmedetomidine, propofol and fentanyl combined with tumescent local anesthesia while Group C propofol and fentanyl combined with tumescent local anesthesia. Results The dosage of propofol and fentanyl of group D was 29.2% and 28.5% less than those of group C.The number of auxiliary respiration of group D was fewer than that of group C and the incidence of cough inflicted when fentanyl was induced also reduced.The incidence of heartbeat bradycardia rose. The doctors＇ and the pa- tients＇ satisfactory rate of group D was high （P 〈 0,05）.Conclusion Dexmedetomidine,propofol and fentanyl com- bined with tumescent local anesthesia is safe and effective for breast augmentation operation.