妇科腹腔镜手术中七氟醚全凭吸入麻醉对血流动力学的影响

发布时间：2018-03-22 08:03

本文选题：腹腔镜手术　切入点：血流动力学　出处：《川北医学院学报》2016年02期 　论文类型：期刊论文

【摘要】：目的:观察七氟醚全凭吸入麻醉在妇科腹腔镜手术中的麻醉效果及对血流动力学的影响。方法:将在南充市中心医院妇科接受腔镜手术治疗的60例患者随机分为观察组与对照组,每组30例,观察组接受全程吸入七氟醚麻醉,对照组接受舒芬太尼和丙泊酚静脉麻醉。比较两组患者不良反应发生情况及患者诱导、苏醒时间,记录患者气腹前(T_1)、气腹后5min(T_2),气腹后15 min(T_3)以及放气后10 min(T_4)血流动力学变化。结果:观察组麻醉诱导、苏醒时间显著低于对照组(P0.05);观察组不良反应发生率显著低于对照组(P0.05);两组患者气腹后5 min心率显著低于气腹前(P0.05),但观察组气腹15 min后心率显著高于对照组(P0.05);对照组气腹后5 min及气腹后15 min平均动脉压均显著低于观察组(P0.05)。结论:七氟醚全凭吸入麻醉过程平稳,苏醒迅速,对气腹过程中血流动力学有着良好的稳定效果。
[Abstract]:Objective: to observe the anesthetic effect and hemodynamic effect of sevoflurane total inhalation anesthesia in gynecological laparoscopic surgery. Methods: sixty patients undergoing endoscopic surgery in the central hospital of Nanchong City were randomly divided into two groups. Observation group and control group, 30 patients in each group received sevoflurane anesthesia, while the control group received sufentanil and propofol intravenous anesthesia. Hemodynamic changes were recorded before pneumoperitoneum, 5 min after pneumoperitoneum, 5 min after pneumoperitoneum, 15 min after pneumoperitoneum, 15 min after pneumoperitoneum and 10 min after exhale. The recovery time was significantly lower than that in the control group (P 0.05), the incidence of adverse reactions in the observation group was significantly lower than that in the control group (P 0.05), the heart rate in the two groups was significantly lower than that in the prepneumoperitoneum after pneumoperitoneum 5 min, but the heart rate in the observation group was significantly higher than that in the control group after 15 min. The mean arterial pressure at 5 min after pneumoperitoneum and 15 min after pneumoperitoneum in group A was significantly lower than that in group B (P 0.05). Conclusion: the whole anesthesia process of sevoflurane is stable. It has good stable effect on hemodynamics during pneumoperitoneum.
【作者单位】：南充市中心医院麻醉科;
【基金】：四川省教育厅科研项目(16ZB0238)
【分类号】：R614

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