引用本文:强 帅,周 宇,曹玉娇,刘美辰,粟 娜.罗哌卡因与利多卡因在重睑成形术中的效果对比研究[J].中国临床新医学,2020,13(8):774-777.
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罗哌卡因与利多卡因在重睑成形术中的效果对比研究
强 帅,周 宇,曹玉娇,刘美辰,粟 娜
100144 北京,中国医学科学院北京协和医学院整形外科医院整形十科(强 帅,周 宇,曹玉娇,刘美辰);710038 陕西,西安医学院第二附属医院医疗美容科(粟 娜)
摘要:
[摘要] 目的 比较罗哌卡因与利多卡因在重睑成形术中对术中出血及术后肿胀程度效果的差异。方法 选择2019-01~2019-03于该院在局麻下行双侧重睑成形术的求美者37例,左眼予利多卡因局麻,右眼予罗哌卡因局麻。比较两组术中麻醉药用量、出血评分及术后肿胀程度。结果 左、右眼术中麻醉药用量比较差异无统计学意义(P>0.05)。左眼出血评分显著高于右眼[(3.24±0.64)分 vs (2.78±0.53)分,P<0.05]。左、右眼术后肿胀程度评分均呈下降趋势,但右眼术后各时点肿胀评分均显著低于左眼(P<0.05)。所有求美者的肿胀情况均在1个月内自然消退。结论 在重睑成形术中应用罗哌卡因能有效减少术中出血和减轻术后肿胀。
关键词:  罗哌卡因  利多卡因  重睑成形术  眼部整形  局部麻醉
DOI:10.3969/j.issn.1674-3806.2020.08.08
分类号:R 622
基金项目:中国医学科学院整形外科医院院所基金项目(编号:B2018008)
Comparative study on the effects of ropivacaine and lidocaine in double-eyelid plasty
QIANG Shuai, ZHOU Yu, CAO Yu-jiao, et al.
The Tenth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China
Abstract:
[Abstract] Objective To compare the differences between the effects of ropivacaine and lidocaine on the degrees of intraoperative bleeding and postoperative swelling in double-eyelid plasty. Methods Thirty-seven cases of beauty seekers who underwent bilateral blepharoplasty under local anesthesia in our hospital from January 2019 to March 2019 were selected. The patients′ left eyes were given lidocaine for local anesthesia and their right eyes were given ropivacaine for local anesthesia. The anesthetic dosage during operation, the bleeding score and the degree of swelling after operation were compared between the two groups. Results There was no significantly difference in the anesthetic dosage between the left and the right eyes(P>0.05). The bleeding scores of the left eyes were significantly higher than those of the right eyes [(3.24±0.64)points vs (2.78±0.53)points, P<0.05)]. The postoperative swelling scores of the left and the right eyes showed a downward trend, but the postoperative swelling scores of the right eyes at each time point were significantly lower than those of the left eyes(P<0.05). The swelling of all beauty seekers subsided naturally within 1 month. Conclusion Ropivacaine can effectively reduce intraoperative bleeding and postoperative swelling in double-eyelid plasty.
Key words:  Ropivacaine  Lidocaine  Double-eyelid plasty  Ophthalmoplasty  Local anesthesia