[摘 要]目的 探讨瑞芬太尼与右美托咪定联合应用于医学美容手术麻醉的临床效果。方法 选取2022年11月-2023年11月于中铁阜阳医院接受医学美容手术的102例患者，按照所用麻醉药物的不同分为A、B两组，每组51例。A组采用异丙酚+芬太尼麻醉，B组采用瑞芬太尼+右美托咪定麻醉，比较两组麻醉效果、麻醉相关指标、满意度及不良反应。结果 B组麻醉总有效率为96.08%，高于A组的76.47%(P<0.05)；B组麻醉苏醒时间短于A组，苏醒后Ramsay评分、术后2、6 h VAS评分均低于A组(P<0.05)；B组满意度为96.08%，高于A组的80.39%(P<0.05)；两组不良反应发生率比较，差异无统计学意义(P>0.05)。结论 瑞芬太尼+右美托咪定应用于医学美容手术的麻醉效果更佳，且不会增加不良反应，满意度更高。

    [关键词] 瑞芬太尼；右美托咪定；医学美容手术

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)20-0020-04

    Application Effect of Remifentanil Combined with Dexmedetomidine in Medical Cosmetology Surgery

    WANG Yun

    (Anesthesiology Department of China Railway Fuyang Hospital， Fuyang 236100， Anhui， China)

    [Abstract]Objective To investigate the clinical effect of remifentanil combined with dexmedetomidine in anesthesia of medical cosmetic surgery. Methods A total of 102 patients who underwent medical cosmetic surgery in China Railway Fuyang Hospital from November 2022 to November 2023 were selected. According to the different anesthetic drugs used， they were divided into group A and group B， with 51 patients in each group. Group A was anesthetized with propofol+fentanyl ......