中国医疗美容
中國醫療美容
중국의료미용
China Medical Cosmetology
2014年
4期
38-39,56
,共3页
盐酸右美托咪定注射液%丙泊酚注射液%医学整形美容手术%镇静效果
鹽痠右美託咪定註射液%丙泊酚註射液%醫學整形美容手術%鎮靜效果
염산우미탁미정주사액%병박분주사액%의학정형미용수술%진정효과
Dexmedetomidine Hydrochloride Injection%Propofol Injection%medical cosmetic operation%sedative effect
目的：比较盐酸右美托咪定注射液与丙泊酚注射液在医学整形美容手术中的镇静效果。方法：随机选取2013年8月-2014年8月在我院行美容手术患者104例，其中52例采用盐酸右美托咪定注射液进行麻醉镇静，另外26例采用丙泊酚注射液进行麻醉镇静，比较两组患者T0（麻醉前）、T1用药后（10min）、60min（T2）及T3（术毕）时段的Ramsay镇静评分、HR、MAP等情况。结果：两组患者T0时段Ramsay镇静评分、MAP、HR无明显差异，P＞0.05，无统计学意义；两组患者T1- T3时段Ramsay镇静评分均明显升高，升高幅度两组差异明显，MAP、HR平均值均明显降低，降低幅度两组差异明显，P<0.05，有统计学意义；盐酸右美托咪定注射液组中有2（3.8%）例患者出现烦躁反应，丙泊酚注射液组有10（19.2%）例患者出现烦躁反应，两组相比差异明显，P<0.05，有统计学意义。结论：在医学整形美容手术中，盐酸右美托咪定注射液的镇静效果明显优于丙泊酚注射液，前者血流动力学相对更稳定。
目的：比較鹽痠右美託咪定註射液與丙泊酚註射液在醫學整形美容手術中的鎮靜效果。方法：隨機選取2013年8月-2014年8月在我院行美容手術患者104例，其中52例採用鹽痠右美託咪定註射液進行痳醉鎮靜，另外26例採用丙泊酚註射液進行痳醉鎮靜，比較兩組患者T0（痳醉前）、T1用藥後（10min）、60min（T2）及T3（術畢）時段的Ramsay鎮靜評分、HR、MAP等情況。結果：兩組患者T0時段Ramsay鎮靜評分、MAP、HR無明顯差異，P＞0.05，無統計學意義；兩組患者T1- T3時段Ramsay鎮靜評分均明顯升高，升高幅度兩組差異明顯，MAP、HR平均值均明顯降低，降低幅度兩組差異明顯，P<0.05，有統計學意義；鹽痠右美託咪定註射液組中有2（3.8%）例患者齣現煩躁反應，丙泊酚註射液組有10（19.2%）例患者齣現煩躁反應，兩組相比差異明顯，P<0.05，有統計學意義。結論：在醫學整形美容手術中，鹽痠右美託咪定註射液的鎮靜效果明顯優于丙泊酚註射液，前者血流動力學相對更穩定。
목적：비교염산우미탁미정주사액여병박분주사액재의학정형미용수술중적진정효과。방법：수궤선취2013년8월-2014년8월재아원행미용수술환자104례，기중52례채용염산우미탁미정주사액진행마취진정，령외26례채용병박분주사액진행마취진정，비교량조환자T0（마취전）、T1용약후（10min）、60min（T2）급T3（술필）시단적Ramsay진정평분、HR、MAP등정황。결과：량조환자T0시단Ramsay진정평분、MAP、HR무명현차이，P＞0.05，무통계학의의；량조환자T1- T3시단Ramsay진정평분균명현승고，승고폭도량조차이명현，MAP、HR평균치균명현강저，강저폭도량조차이명현，P<0.05，유통계학의의；염산우미탁미정주사액조중유2（3.8%）례환자출현번조반응，병박분주사액조유10（19.2%）례환자출현번조반응，량조상비차이명현，P<0.05，유통계학의의。결론：재의학정형미용수술중，염산우미탁미정주사액적진정효과명현우우병박분주사액，전자혈류동역학상대경은정。
Objective:To compare the sedative effect of dexmedetomidine hydrochloride injection and Propofol Injection in medical plastic and cosmetic operation in. Methods:randomly selected in 2013 August~2014 year in August in our hospital underwent cosmetic operation in 52 cases,including 26 cases with Dexmedetomidine Hydrochloride Injection anesthesia sedation,the other 26 cases were treated by Propofol Injection anesthesia sedation,compared two groups of patients with T0(Ma Zuiqian),T1 after treatment(10min),60min(T2) and T3(postoperative)interval Ramsay sedation score,HR,MAP etc. Results:the two groups of patients with T0 period Ramsay sedation score,MAP,there was no significant difference in HR,P>0.05,no statistical significance;the two groups of patients with T1~T3 stage Ramsay sedation score were significantly increased, the magnitude of the difference of two groups increased significantly,the average value of MAP,HR were decreased obviously,reduce the magnitude of the difference of two groups were obviously,P<0.05,there was statistical significance;Dexmedetomidine Hydrochloride Injection group 1(3.8%)patients appeared agitated reaction,Propofol Injection group 5(19.2%)patients had agitated reaction,difference between the two groups significantly,P<0.05,had statistical significance. Conclusion:in medical plastic and cosmetic operation, sedative effect Dexmedetomidine Hydrochloride Injection is obviously superior to the former Propofol Injection,relatively more stable hemodynamics.
