动脉置管监测血压在面部整形美容局麻手术中的应用

郭丽娜 刘均英 彭万忠 姜洋 王爱丽 郭学敏

[摘要]目的：探討动脉置管监测血压在面部整形美容局麻手术中的应用价值。方法：2016年11月-2019年3月选择在笔者医院进行面部整形美容局麻手术患者78例，根据随机数字表法分为观察组与对照组各39例。所有患者都给予局麻手术，对照组给予袖带法监测血压;观察组给予动脉置管监测血压，同时在术中15min也给予了袖带法测量血压。记录两组监测血压的效果。结果：两组患者术前即刻、术中15min与术后即刻的收缩压、舒张压在组内与组间比较差异都无统计学意义（P>0.05）。在观察组中，动脉置管与袖带法监测血压的误差都在±5.0mmHg，属于可信区间误差范围内。观察组术后3d的疼痛分级与对照组比较差异无统计学意义（P>0.05）。对照组在血压监测中未出现任何并发症，观察组出现1例血肿与1例感染，发生率为5.1%，组间比较差异无统计学意义（P>0.05）。结论：动脉置管监测血压在面部整形美容局麻手术中的应用依然具有很好的可靠性与安全性，能追踪围手术期血压的变化，为保障患者的手术安全提供参考。

[关键词]动脉置管;血压监测;面部整形美容;局部麻醉

[中图分类号]R622    [文献标志码]A    [文章编号]1008-6455（2021）04-0098-03

Application of Arterial Catheter Monitoring Blood Pressure in Patients with Facial Plastic Surgery Under Local Anesthesia

GUO Li-na1，LIU Jun-ying2，PENG Wan-zhong2，JIANG Yang2，WANG Ai-li2，GUO Xue-min2

（1.Department of Medical Plastic and Cosmetic;2.Department of Internal Medicine-Cardiovascular，Cangzhou Central Hospital，Cangzhou 061000，Hebei，China）

Abstract： Objective  To investigate the values of arterial catheter monitoring of blood pressure in patients with facial plastic surgery under local anesthesia. Methods  From November 2016 to March 2019， 78 patients with facial plastic surgery and local anesthesia were selected from our hospital and were equally divided into the observation group and the control group accorded to the random number table method. All patients were given local anesthesia， the control group were given cuff method to monitor blood pressure; the observation group were given arterial catheter to monitor blood pressure， and the cuff method were also used to measure blood pressure at intraoperative 15 minutes. The effects of monitoring blood pressure were recorded in both groups. Results  There were no significant differences in the systolic and diastolic blood pressure between the two groups immediately before surgery， 1intraoperative 15 minutes， and immediately after surgery （P>0.05）. In the observation group， the error of monitoring the blood pressure by the arterial catheter and the cuff method were between ±5.0mmHg， which were within the range of the confidence interval error. There were no significant difference in the pain grading compared between the observation group and the control group at 3 days after operation （P>0.05）. There were no complication in the blood pressure monitoring in the control group. There were one patient of hematoma and one patient of infection in the observation group， the incidence rates were 5.1%， and there were no significant difference compared between the two groups （P>0.05）. Conclusion  The application of arterial catheter monitoring blood pressure in patients with facial plastic surgery and local anesthesia is still very reliable and safe. It can track the perioperative blood pressure and provide reference for the safety of patients.

Key words： arterial catheter; blood pressure monitoring; facial plastic surgery; local anesthesia

随着生活水平的不断提高，我国人民群众对美丽的追求也日渐突出。而我国很多医院也广泛开展了面部整形美容，多数在麻醉下进行手术[1]。不过由于各种因素的影响，患者在手术过程中会产生难以忍耐的剧烈疼痛，且伴随有血压波动，从而严重影响手术效果[2-3]。在传统的血压……