中国临床医学2017，Vol.24Issue(4)：565-570,6.DOI:10.12025/j.issn.1008-6358.2017.20170359
游离皮瓣乳房重建术中丙泊酚与七氟烷麻醉效果的对比
Propofol versus sevoflurane in free flap breast reconstruction
徐亚军 1杨礼 1黄乃思 2许平波 1朱敏敏 1缪长虹 1楼菲菲 1吴炅2
作者信息
- 1. 复旦大学附属肿瘤医院麻醉科,复旦大学上海医学院肿瘤学系,上海 200032
- 2. 复旦大学附属肿瘤医院乳腺外科,复旦大学上海医学院肿瘤学系,上海 200032
- 折叠
摘要
Abstract
Objective:To compare the efficacy and safety between propofol and sevoflurane in free flap breast reconstruction.Methods:The data of patients,who underwent free flap breast reconstruction with propofol(P group,n=16)or sevoflurane(S group,n=19),were collected.Postoperative complications of flap,postoperative nausea and vomiting(PONV)and intraoperative mean arterial blood pressure were retrospectively analyzed.Objective:No statistical significance of the baseline patient characteristics,duration of surgery and anesthesia was found between the two groups.The incidence of flap compromise was 6.3％in the P group while it was 10.5％in the S group.No statistical significance of the history of PONV,motion sickness and smoking was found between two groups.Also no statistical significance of intraoperative sufentanil and remifentanil administered,postoperative PCIA consumption was found between the two groups.The incidence of nausea(from 0 to 2 h)was significantly decreased in the P group(18.8％vs 68.4％,P=0.003).The incidences of vomiting(from 2 to 6 h,0 to 24 h)were significantly reduced in the P group(18.8％vs 52.6％,P=0.039;18.8％vs 57.9％,P=0.019).No statistical significance of preoperative mean arterial blood pressures was found between two groups([88.06±6.86] mmHg vs [88.10±8.13] mmHg,P=0.987).Significant decreases in intraoperative mean arterial blood pressures compared with preoperative mean arterial blood pressures were observed in both groups(P<0.05).Intraoperative mean arterial blood pressure was lower in the S group compared with the P group(P<0.05).More ephedrine was used in the S group(P<0.05).There was no intraoperative awareness in both groups.There were no significant differences in extubation time and 24 h quality of recovery score between the two groups.Conclusions:There was no difference in the outcome of flap between propofol and sevoflurane.Compared with sevoflurane,propofol improves postoperative nausea and vomiting with less intervention in mean arterial blood pressure.关键词
丙泊酚/七氟烷/游离皮瓣乳房重建/术后恶心呕吐/平均动脉压Key words
propofol/sevoflurane/free flap breast reconstruction/PONV/mean arterial blood pressure分类
医药卫生引用本文复制引用
徐亚军,杨礼,黄乃思,许平波,朱敏敏,缪长虹,楼菲菲,吴炅..游离皮瓣乳房重建术中丙泊酚与七氟烷麻醉效果的对比[J].中国临床医学,2017,24(4):565-570,6.
