组织工程与重建外科杂志2025，Vol.21Issue(3)：277-282,6.DOI:10.3969/j.issn.1673-0364.2025.03.010
高海拔地区右美托咪定复合丙泊酚联合瑞芬太尼在头面部整形美容手术中的麻醉效果探究
Anesthetic effect of dexmedetomidine combined with propofol and remifentanil in head and face plastic surgery in plateau area
达娃吾珠 1边巴拉吉 2伍斌 2次旺加措 2周栩3
作者信息
- 1. 850000 西藏自治区拉萨市西藏自治区人民医院手术麻醉科
- 2. 850000 西藏自治区拉萨市西藏自治区人民医院整形外科
- 3. 100144 北京市中国医学科学院整形外科医院
- 折叠
摘要
Abstract
Objective To investigate the anesthetic effect of dexmedetomidine combined with propofol and remifentanil in head and face plastic surgery in plateau area.Methods A total of 32 head and facial plastic surgery patients were enrolled in a Grade-III hospital at an altitude of 3,600 meters in Tibet Autonomous Region from March 2023 to December 2024.Patients were anesthetised with dexmedetomidine combined with propofol and remifentanil.Results All 32 patients had stable hemodynamics,little circulation fluctuation,good postoperative analgesia and sedation,and the total incidence of postoperative adverse reactions was 12.5%.Conclusion The anesthesia regimen of dexmedetomidine combined with propofol and remifentanil has significant advantages in the plateau area,and can effectively inhibit the stress response caused by intubation and surgical stimulation in terms of hemodynamic stability.关键词
右美托咪定/丙泊酚/瑞芬太尼/整形美容手术/高海拔地区Key words
Dexmedetomidine/Propofol/Remifentanil/Plastic surgery/Plateau area分类
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达娃吾珠,边巴拉吉,伍斌,次旺加措,周栩..高海拔地区右美托咪定复合丙泊酚联合瑞芬太尼在头面部整形美容手术中的麻醉效果探究[J].组织工程与重建外科杂志,2025,21(3):277-282,6.
