摘要
Abstract
Objective To evaluate the efficacy of general anesthesia with SLIPA laryngeal mask airway with tumescent anesthesia in patients abdominal liposuction. Methods 160 ASAⅠ-Ⅱpatients of fe⁃males,aged 20-35years,weighing 56-78 kg,abdominal liposuction under general anesthesia,were randomly divided into 2 groups (n=80 each).Group Ⅰ received combined intravenous-inhalational anesthesia with endotracheal tube.Group Ⅱ received combined intravenous-inhalational anesthesia with SLIPA laryngeal mask airway then undergoing abdominal liposuction with tumescent anesthesia. HR was maintained at 50-100bpm,MAP was maintained at the preoperative baseline level (increase or decrease amplitude <20% of the baseline level) during operation and in postanesthesia care unit (PACIU) and vasoactive drugs (atropine,esmolol,efedrina or urapidil) were given when necessary.The patients received patient-controlled intravenous analgesia with sufentanil (background infusion 1.5 ml/h, bolus dose2 ml,lockout interval 15 min) after operation and VAS score was maintained at≤2.The re⁃quirement for vasoactive drugs during operation and in PACU,PACU stay length,and consumption of analgesics and occurrence of nausea and vomiting within 24h after operation were recorded. Results Compared with groupⅠ,the requirement for all vasoactive drugs during operation and in PACU was significantly reduced,PACU stay length was significantly shortened,and the consumption of analge⁃sics and incidence of nausea and vomiting were significantly reduced in groupⅡ(P<0.05). Conclu⁃sion general anesthesia with SLIPA laryngeal mask airway with tumescent anesthesia provides better efficacy with fewer complications and less consumption of postoperative analgesics than general an⁃esthesia with endotracheal tube in patients abdominal liposuction.关键词
SLIPA喉罩/局部肿胀麻醉/全身麻醉/脂肪抽吸术Key words
SLIPA laryngeal mask/tumescent anesthesia/general anesthesia/liposuction分类
医药卫生
