新医学2018，Vol.49Issue(2)：113-116,4.DOI:10.3969/j.issn.0253-9802.2018.02.009
面部整形手术麻醉方案的可行性研究
Comparasion of different anesthesia approaches in facial plastic surgery
摘要
Abstract
Objective To compare the effects of different anesthesia approaches applied during facial plastic surgery.Methods A total of 300 patients who volunteerily underwent facial plastic surgery were randomly divided into the intravenous anesthesia (VA group,n =100),oropharyngeal airway (OP group,n =100) and laryngeal mask groups (LM group,n =100).In the VA group,local infiltration anesthesia was performed after intravenous anaesthesia,and local infiltration anesthesia was delivered after the placement of oropharyngeal airway or laryngeal mask in the OP and LM groups.The changes of the mean arterial pressure (MBP),heart rate (HR) and pulse oxygen saturation (SpO2) were observed before anesthesia (T0),after anesthesia induction or placement of oropharyngeal airway/laryngeal mask (T1),and during resuscitation with eyes open (T2),respectively.Intraoperative dosage of propofol,resuscitation time,number of patients with intraoperative body movement,number of patients with SpO2 ＜ 95％,number of patients with assisted breathing,number of patients with post(o)(o)erative throat pain,number of patients with postoperative nausea and vomiting and number of anesthesiologists presenting with psychological insecurity were recorded and statistically compared among three groups.Results No significant difference was noted in MAP and HR at T0,T1 and T2 among the three groups (all P ＞ 0.05).No significant difference was observed in the SpO2 at T0 and T2 among the three groups (all P ＞ 0.05),whereas the SpO2 in the VA group was significantly lower than those in the OP and LM groups at T1 (both P ＜ 0.05).In the VA group,the dosage of propofol was significantly less and the resuscitation time was significantly shorter compared with those in the OP and LM groups (all P ＜ 0.05).In the VA group,the number of patients with SpO2 ＜ 95％,number of patients with assisted breathing,number of patients with intraoperative body movement and number of anesthesiologists presenting with psychological insecurity were significantly higher than those in the OP and LM groups (all P ＜ 0.05).No statistical significance was documented in the number of patients with postoperative throat pain and those presenting with postoperative nausea and vomiting among the three groups (all P ＞ 0.05).No significant difference was noted in all parameters between the OP and LM groups (all P ＞ 0.05).Conclusions Placement of oropharyngeal airway and laryngeal mask can effectively resolve the problems of respiratory obstruction and respiratory depression in patients undergoing facial plastic surgery induced by intravenous anesthesia and improve the safety of intravenous anesthesia.The oropharynx airway is simpler and more practical than the laryngeal mask airway.关键词
面部整形/口咽通气道/喉罩/麻醉/呼吸Key words
Facial plastic surgery/Oropharyngeal airway/Laryngeal mask/Anesthesia/Respiration引用本文复制引用
肖兴鹏,郭荣,何璇,贾一帆,任汉琳..面部整形手术麻醉方案的可行性研究[J].新医学,2018,49(2):113-116,4.基金项目
湖北省自然科学基金面上项目(2015CFB709) （2015CFB709）
