摘要
目的:比较门诊美容外科手术使用咪达唑仑或异丙酚辅助局麻的效果。方法:对我院2000年1月～2003年12月门诊美容手术病人使用咪达唑仑或异丙酚辅助局麻的效果进行分析总结,用Ramsay评分评估镇静分级,同时监测HR、SPO2、SBP、DBP、MBP、顺行性遗忘和并发症发生情况。结果:两组病人用药后均很快入睡(P>0.05),用药后5min、10min、15min监测HR、SPO2、SBP、DBP、MBP稍有波动,但在正常范围,少数病人术后出现轻微恶心,咪达唑仑组顺行性遗忘率(85.7%)明显高于异丙酚组(42.2%)(P<0.05)。结论:门诊美容外科手术使用小剂量咪达唑仑或异丙酚安全有效,与异丙酚相比,咪达唑仑具有良好的顺行性遗忘作用。
Objective To evaluate the effect of Midazolam or Propofol in operation under local anesthesia for outpatients with aesthetic surgery, Methods 308 cases were analysed and reviewed with anesthetic surgery between 2000 and 2003 in our hospital outpatient Ramsay was used to assess sedation grade whereas HR,SBP,DBP, MBP,SPO2 were measured and anterograde amnesia anti complication were observed. Results All the cases were sleep soon after intravenouse infusion Midazolam or Propofo] （p〉0.05）.HR,SBP,DBP,MBP,SPo2 had a little change at 5 minutes,10 minutes,15 minutes but within normal value.The incidence of anterograde amnesiain in Midazolam group was 85.7% whereas 42.2% in Propofol group （p〈0.05）. Conclusion It is safe and effective for outpatients with aesthetic surgery to infuse Midazolam or Propofol. By comparison with Propofol, Midazolam has a good effect of anterograde amnesiain.
出处
《中国美容医学》
CAS
2005年第5期555-557,共3页
Chinese Journal of Aesthetic Medicine
