何长松（1977.3-），男，山东临沂人，本科，主治医生，主要从事临床麻醉相关研究
R971+.2
目的 探讨在面部整形手术中采用不同的麻醉方案所取得的效果。方法 选取2022年1月-2023年 3月于我院接受面部整形手术的150例患者作为研究对象，按治疗先后顺序分为对照组和试验组，各75例。 对照组采用丙泊酚联合舒芬太尼麻醉，试验组采用右美托咪定联合丙泊酚麻醉，比较两组不同时间段的生 命体征、并发症发生情况、手术过程中的舒芬太尼追加情况、麻醉效果、苏醒指标。结果 试验组收缩压 与舒张压波动幅度小于对照组，差异有统计学意义（P＜0.05）；试验组并发症发生率为1.33%，低于 对照组的10.67%，差异有统计学意义（P＜0.05）；试验组舒芬太尼追加剂量为（3.02±0.23）μg，低 于对照组的（4.25±1.35）μg，差异有统计学意义（P＜0.05）；试验组VAS评分及Ramsay评分均低于 对照组，差异有统计学意义（P＜0.05）；试验组术后苏醒时间及清醒时间均短于对照组，差异有统计 学意义（P＜0.05）。结论 面部整形手术中应用右美托咪定联合丙泊酚方案进行麻醉，能够获得更有效的 麻醉效果，患者疼痛程度较轻，且患者相关体征平稳，术后苏醒时间以及清醒时间均较短。
Objective To explore the effect of different anesthesia schemes in facial plastic surgery. Methods A total of 150 patients who underwent facial plastic surgery in our hospital from January 2022 to March 2023 were selected as the research objects. According to the order of treatment, they were divided into control group and experimental group, with 75 patients in each group. The control group was anesthetized with propofol combined with sufentanil, and the experimental group was anesthetized with dexmedetomidine combined with propofol. The vital signs at different time periods, complications, additional sufentanil during operation, anesthesia effect and recovery index of the two groups were compared. Results The fluctuation range of systolic blood pressure and diastolic blood pressure in the experimental group was smaller than that in the control group, and the difference was statistically significant (P
何长松.右美托咪定联合丙泊酚在面部整形手术患者中的麻醉效果[J].医学美学美容,2023,32(12):77-80.
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