七氟醚麻醉在胸腔镜手术中的应用

陆丽娟; 黄宇光; 任洪智; 罗爱伦

七氟醚麻醉在胸腔镜手术中的应用

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THE APPLICATION OF SEVOFLURANCE ANESTHESIA TO THORACICOSCOPIC OPERATION

摘要

摘要: 目的 :观察七氟醚的麻醉效应及其对循环、呼吸功能的影响。方法 :2 8例拟行胸腔镜手术的患者 ,分为七氟醚组和安氟醚组 12例 ,采用BOM -edNCCOM -3型无创心功能监测仪 ,记录麻醉前、麻醉时、手术时、手术毕等各时点的血液动力学指标 ,同时连续监测SPO2 、PETCO2 的变化 ,并记录麻醉清醒时间。结果 :AG组在麻醉手术期间血液动力学各参数较麻醉前有明显的下降 (P 0 0 5 ) ;SE组除手术开始时MAP、S、D有轻微下降外 ,其余参数在麻醉期间基本平稳 ;AE组的血液动力学变化明显大于SE组 (P 0 0 1)。结论 :七氟醚麻醉能维持循环稳定 ,且可控性好 ,适合于Ⅰ～Ⅲ级的胸腔镜手术患者

Abstract: Objective:To abserve the hemodynamics and respiratory changes of patients undergoing thoracicoscopic operation.Method:29 patients were divided into two groups:sevoflurance(SG,n=16) and enflurance (EG,n=12)anesthesia groups.Hemodynamic(HR,MAP,S,D,VET,TFI,EVI,CVRI,LVWI)and respiratory(SPO 2.P ET CO 2)parameters were measured during the operation.Result:In EA group,MAP,CI,VET,TFI,and EVI reduced signicantly after operation(p0 05).In SE group,MAP,S,D decreased slightly at the beginning of operation,while other parameters remained relatively stable.The changes in hemodynamic paramenters were more obviously in group AE than those in SE group(p0 05).The awakening time was shorter in group SE than that in AE group(p0 05).Conclusion:Sevoflurance anesthesia can rovide stable changes of hemodynamic parameters annd be safely applied to the ASA Ⅰ～Ⅲ patients undergoing thoracicoscopic operation.

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文章访问数: 171
HTML全文浏览量: 15
PDF下载量: 24
被引次数: 0

七氟醚麻醉在胸腔镜手术中的应用

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出版历程

THE APPLICATION OF SEVOFLURANCE ANESTHESIA TO THORACICOSCOPIC OPERATION

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出版历程

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