中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
11期
1648-1649
,共2页
七氟烷%麻醉,效果%收缩压
七氟烷%痳醉,效果%收縮壓
칠불완%마취,효과%수축압
Sevoflurane%Anesthetic,effect%Systolic blood pressure
目的 探讨七氟烷三种吸入诱导方式的麻醉效果.方法 将60例在气管插管全麻下行上腹部择期手术的患者根据七氟烷吸入不同分为A组(肺活量呼吸)、B组(潮气量呼吸)和C组(逐渐增加七氟烷浓度),每组20例.A组和B组的七氟烷吸入浓度为9％,C组的七氟烷吸入浓度为4％,均以氧流量3 L/min预充氧气管道.观察并记录在T1(基础指标)、T2(睫毛反射消失)、T3(插管前)、T4(插管2 min时刻)、T5(插管4 min时刻)、T6(插管6 min时刻)各时点患者的心率(HR)、平均血压(MAP)、舒张压(DBP)、收缩压(SBP)和肌松效果数值.结果 A组、B组和C组在不同时间点的SBP、DBP和MAP均得到了抑制(均P＜0.05),并且在时间点T3抑制效果显著(均P＜0.01).A组、B组和C组在不同时间点HR变化和肌松效果无密切关联(均P＞0.05).结论 三种七氟烷吸入诱导方式均可使患者的血压降低,并且七氟烷在进行全麻诱导时安全、可靠.
目的 探討七氟烷三種吸入誘導方式的痳醉效果.方法 將60例在氣管插管全痳下行上腹部擇期手術的患者根據七氟烷吸入不同分為A組(肺活量呼吸)、B組(潮氣量呼吸)和C組(逐漸增加七氟烷濃度),每組20例.A組和B組的七氟烷吸入濃度為9％,C組的七氟烷吸入濃度為4％,均以氧流量3 L/min預充氧氣管道.觀察併記錄在T1(基礎指標)、T2(睫毛反射消失)、T3(插管前)、T4(插管2 min時刻)、T5(插管4 min時刻)、T6(插管6 min時刻)各時點患者的心率(HR)、平均血壓(MAP)、舒張壓(DBP)、收縮壓(SBP)和肌鬆效果數值.結果 A組、B組和C組在不同時間點的SBP、DBP和MAP均得到瞭抑製(均P＜0.05),併且在時間點T3抑製效果顯著(均P＜0.01).A組、B組和C組在不同時間點HR變化和肌鬆效果無密切關聯(均P＞0.05).結論 三種七氟烷吸入誘導方式均可使患者的血壓降低,併且七氟烷在進行全痳誘導時安全、可靠.
목적 탐토칠불완삼충흡입유도방식적마취효과.방법 장60례재기관삽관전마하행상복부택기수술적환자근거칠불완흡입불동분위A조(폐활량호흡)、B조(조기량호흡)화C조(축점증가칠불완농도),매조20례.A조화B조적칠불완흡입농도위9％,C조적칠불완흡입농도위4％,균이양류량3 L/min예충양기관도.관찰병기록재T1(기출지표)、T2(첩모반사소실)、T3(삽관전)、T4(삽관2 min시각)、T5(삽관4 min시각)、T6(삽관6 min시각)각시점환자적심솔(HR)、평균혈압(MAP)、서장압(DBP)、수축압(SBP)화기송효과수치.결과 A조、B조화C조재불동시간점적SBP、DBP화MAP균득도료억제(균P＜0.05),병차재시간점T3억제효과현저(균P＜0.01).A조、B조화C조재불동시간점HR변화화기송효과무밀절관련(균P＞0.05).결론 삼충칠불완흡입유도방식균가사환자적혈압강저,병차칠불완재진행전마유도시안전、가고.
Objective To explore the narcotic effect of three inhalation induced methods of sevoflurane.Methods According to the different inhalation methods of sevoflurane,60 patients with elective upper abdominal surgery under intubation general anesthesia were divided into group A (vital capacity breathing),group B (tidal volume breathing),and group C (gradually increasing the concentration of sevoflurane),each group 20 cases.The sevoflurane concentration of A group and B group was 9％,which of group C was 4％,and oxygen pipeline was prefilled by oxygen flow(3L/min).The heart rate(HR),mean blood pressure(MAP),diastolic blood pressure(DBP) and systolic blood pressure(SBP) values and the effect of muscle relaxants were observed and recorded at T1 (basic indicators),T2 (eyelash reflex),T3 (before intubation),T4 (intubation time 2 min),T5 (intubation time 4 min),T6 (intubation time 6 min).Results The SBP,DBP,and MAP of group A,B and C at different time points were all inhibited(all P ＜0.05),and the significant inhibitory effect was at time point T3 (all P ＜0.01).There was no close correlation between HR changes and the muscle relaxant effect of group A,B and C at different point(all P ＞ 0.05).Conclusion Three kinds of sevoflurane inhalation induction can lower blood pressure,and they are safe,reliable,and able to be accepted by the patients.
