[1]吴丽珍,展 望,李 磊,等.不同温度肿胀液对局麻吸脂手术效果的影响[J].中国美容医学,2022,(11):175-177.
　WU Lizhen,ZHAN Wang,LI Lei,et al.Effect of Different Temperature Tumescent Fluid on Liposuction under Local Anesthesia[J].Medical Aesthetics and Beauty,2022,(11):175-177.
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不同温度肿胀液对局麻吸脂手术效果的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年11期
页码:
175-177
栏目:
出版日期:
2022-11-10

文章信息/Info

Title:
Effect of Different Temperature Tumescent Fluid on Liposuction under Local Anesthesia
文章编号:
1008-6455（2022）11-0175-03
作者:
吴丽珍1 ; 展 望2 ; 李 磊2 ; 刘 韵2 ; 高 飞2 ; 林 遐2 ; 蒋冬菊1
[海南省人民医院（海南医学院附属海南医院） 1.麻醉科；2.整形美容外科 海南 海口 570311]
Author(s):
WU Lizhen1 ; ZHAN Wang2 ; LI Lei2 ; LIU Yun2 ; GAO Fei2 ; LIN Xia2 ; JIANG Dongju1
[1.Department of Anesthesiology; 2.Department of Plastic and Aesthetic Surgery,Hainan Provincial People’s Hospital(Hainan Hospital Affi liated to Hainan Medical Colleage),Haikou 570311,Hainan,China]
关键词:
肿胀液温度; 局麻; 吸脂术; 体温; 疼痛
Keywords:
tumescent fl uid temperature;  local anesthesia;  liposuction;  body temperature;  pain
分类号:
R473
文献标志码:
B
摘要:
目的：探讨不同温度肿胀液对局麻吸脂手术效果的影响。方法：选取笔者医院2020年4月-2021年3月接受局麻吸脂手 术就医者46例，随机分为对照组和观察组，各23例。对照组给予常温22℃的肿胀液注入皮下组织，观察组使用加温仪加温至 37℃注入皮下组织。比较两组肿胀液起效时间，注射肿胀液后手术开始0.5 h时、手术开始1 h时、手术结束后0.5 h时就 医者体温情况，注射肿胀液及吸脂时就医者疼痛情况等。结果：观察组麻醉起效时间明显短于对照组，差异有统计学意义 （P＜0.05）。观察组注射肿胀液后手术开始0.5 h时、手术开始1 h时、手术结束后0.5 h时就医者体温均明显高于对照 组，差异有统计学意义（P＜0.05）。观察组注射肿胀液及吸脂时疼痛评分均低于对照组，差异有统计学意义（P＜0.05）。结 论：局麻吸脂手术时为就医者注射加温至37℃的肿胀液可有效加快麻醉起效时间、防止低体温发生、缓解注射时及脂肪抽吸 时的疼痛感，提高就医者舒适度。
Abstract:
Objective To investigate the eff ect of diff erent temperature tumescent fl uid on local anesthesia liposuction. Methods 46 patients who underwent liposuction under local anesthesia in our hospital from April 2020 to March 2021, were randomly divided into the control group and the observer group, 23 cases in each group. In the control group, patients were given the 22℃ temperature tumescent fl uid into the subcutaneous tissue, while in the observation group the tumescent fl uid was heating to 37℃. The eff ective time of tumescent fl uid was compared between the two groups. The patients’ temperatureat 0.5 h, 1 h and 0.5 h after the operation, and the patients’ pain at the time of tumescent fl uid injection and liposuction were observed. Results The eff ective time of anesthesia in the observation group was signifi cantly shorter than that in the control group, the difference was statistically significant (P＜0.05). The temperature of the patients in the observation group were signifi cantly higher than those in the control group at 0.5 h, 1 h and 0.5 h after the operation after the injection of tumescent fl uid (P＜0.05). The pain score of the observation group were lower than those of the control group when the swelling liquid and liposuction injected (P＜0.05). Conclusion Injecting 37℃ tumescent liquid for patients during local anesthesia liposuction can eff ectively accelerate the eff ective time of anesthesia, prevent hypothermia, relieve pain during injection and liposuction, improve patient comfort, reduce complications, and promote the recovery of patients.

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[1]刘 宁,刘育凤,胡 亮,等.局麻下片状切取肋软骨技术在鼻整形中的应用[J].中国美容医学,2023,(7):62.[doi:10.15909/j.cnki.cn61-1347/r.005781]
　LIU Ning,Liu Yufeng,HU Liang,et al.Application of Split Costal Cartilage Harvest Technique under Local Anesthesia in Rhinoplasty[J].Medical Aesthetics and Beauty,2023,(11):62.[doi:10.15909/j.cnki.cn61-1347/r.005781]

更新日期/Last Update: 2022-11-23