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Q4 Medicine

Anestezi Dergisi Pub Date : 2023-07-31 DOI:10.54875/jarss.2023.35693

Bilge Olgun Keleş, M. Kaya, Serpil Şavlı, Fatih Arslan, Cemile Açıkgöz Yıldız, Elvan Tekir Yılmaz

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摘要

目的：镇静镇痛是一种麻醉方法，主要用于手术室外干预和一些短期手术，允许单独或联合使用镇静剂和离解剂进行手术。闭式技术鼻中隔成形术也是一种可用于硬膜外疼痛的手术。本研究的目的是比较氯胺酮和丙泊酚联合用药以及咪达唑仑和芬太尼联合用药的镇静镇痛效果、手术满意度和患者满意度。方法：经伦理委员会批准，将60名ASA I和II患者分为2组纳入研究。使用氯胺酮和丙泊酚治疗坐痛的患者被命名为第1组（酮醇），使用咪达唑仑和芬太尼的患者被称为第2组（米达芬塔）。患者的数据记录在术中麻醉表格和术后恢复单位表格中。并发症、副作用、手术和患者满意度受到质疑。结果：酮醇组在诱导后第3分钟的平均动脉压显著低于足中部组。术中第10分钟和第20分钟，米达芬塔组的镇静评分显著低于酮醇组。患者满意度没有显著差异，但米达芬塔组的手术满意度明显更高。结论：在封闭式鼻中隔成形术中，应用酮醇和米达芬塔方法可以在不需要全身麻醉的情况下使用镇静镇痛。然而，酮症酸中毒是首选药物，但在接受封闭式鼻中隔成形术的患者中，酮症醇并不能提供足够的手术满意度。我们将此归因于患者的分离以及他们无法遵守手术指令。关键词：异丙酚、氯胺酮、咪唑安定、芬太尼

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Septoplasti Operasyonlarında Ketofol ile Midazolam-Fentanil Sedoanaljezi Yöntemlerinin Karşılaştırılması

Objective: Sedoanalgesia is an anesthesia method that is preferred mostly in outside the operating room interventions and some short-term surgeries, allowing the procedure to be performed by using sedative and dissociative agents alone or together. Closed technique septoplasty operation is also an operation that can be performed with sedoanalgesia. The aim of this study is to compare the sedative and analgesic effects of ketamine and propofol combination and midazolam and fentanyl combination, surgical satisfaction and patient satisfaction in patients who underwent closed technique septoplasty operation. Methods: After ethics committee approval, 60 ASA I and II patients were included in the study by dividing into 2 groups. Patients who used ketamine and propofol for sedoanalgesia were named Group 1 (ketofol), and patients who used midazolam and fentanyl were named Group 2 (midafenta). The data of the patients were recorded from the intraoperative anesthesia forms and the postoperative recovery unit forms. Complications, side effects, surgery and patient satisfaction were questioned. Results: Mean arterial pressure was found to be significantly lower in the ketofol group at the 3rd minute after induction than in the midfenta group. The sedation score in the midafenta group at the 10th and 20th minutes intraoperatively was significantly lower than in the ketofol group. There was no significant difference in patient satisfaction, but surgical satisfaction was significantly higher in the midafenta group. Conclusion: In closed technique septoplasty operations, sedoanalgesia applied with ketofol and midafenta methods can be used without the need for general anesthesia. However, ketofol, which is highly preferred for sedoanalgesia, did not provide sufficient surgical satisfaction in patients who underwent closed technique septoplasty. We attributed this to the dissociation of the patients and their inability to comply with surgical commands. Keywords: Propofol, ketamine, midazolam, fentanyl

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来源期刊

Anestezi Dergisi Medicine-Anesthesiology and Pain Medicine

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0.20

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