CAJ | 학술논문

目的：观察乌拉地尔在妇科腹腔镜手术气腹时对血流动力学的影响。方法：将100例妇科腹腔镜次全子宫切除术患者随机分成乌拉地尔观察组和对照组。观察麻醉前（T0）、麻醉后气腹前（T1）、气腹后1 min（T2）、5 min（T3）、15 min（T4）时2组患者的收缩压、舒张压、平均动脉压和心率变化并进行统计学处理。结果：观察组气腹前后各项指标都相对稳定，对照组气腹后各项指标都显著高于观察组，同时高于气腹前。结论：乌拉地尔能有效预防妇科腹腔镜手术气腹时的心血管反应，维持手术期间血流动力学稳定。
목적：관찰오랍지이재부과복강경수술기복시대혈류동역학적영향。방법：장100례부과복강경차전자궁절제술환자수궤분성오랍지이관찰조화대조조。관찰마취전（T0）、마취후기복전（T1）、기복후1 min（T2）、5 min（T3）、15 min（T4）시2조환자적수축압、서장압、평균동맥압화심솔변화병진행통계학처리。결과：관찰조기복전후각항지표도상대은정，대조조기복후각항지표도현저고우관찰조，동시고우기복전。결론：오랍지이능유효예방부과복강경수술기복시적심혈관반응，유지수술기간혈류동역학은정。
Objective:To observe the effect of Urapidil on hemodynamic index of pneumoperitoneum in laparoscopic gynecologist surgery .Methods:100 patients of laparoscopic subtotal hysterectomy were randomly divided into control group and Urapidil group .And to observe the index of SP ,DP,MAP,HR in two groups before anesthesia ( T0 ) , after anesthesia and before pneumoperitoneum ( T1 ) , after pneumoperitoneum 1 min (T2),5 min(T3),15 min(T4).The hamodynamic index were analysed with the statistics .Results:The SP, DP,MAP,HR after pneumoperitoneum in control group were significantly higher than those in Urapidil group and than those befor pneumoperitoneum .The hamodynamic index were relative stable in Urapidil group before and after pneumoperitoneum .Conclusion: Urapidil can effectively prevent cardiovascular reaction of pneumoperitoneum in gynecological laparoscopic surgery and maintain stable hemodynamics during surgery .