中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
24期
31-33
,共3页
体外循环%七氟醚%循环%呼吸
體外循環%七氟醚%循環%呼吸
체외순배%칠불미%순배%호흡
Cardiopulmonary bypass%Sevoflurane%Circulation%Respiratory
目的：观察在体外循环心内直视手术过程中吸入七氟醚对患者循环与呼吸功能的影响。方法：选择70例体外循环下心脏直视手术的患者，按随机数字表法分为七氟醚组35例（Q组）和对照组35例（D组）。Q组在麻醉诱导和体外循环过程中吸入1%~3%的七氟醚，D组在麻醉诱导和体外循环中不使用七氟醚，使用异丙酚。观察两组患者的心率、血压、气管导管带管时间、术后ICU留置时间等。结果：与D组比较，Q组在麻醉诱导及体外循环过程中血压波动较小，更平稳（P<0.05）；气管导管带管时间和术后在ICU留置的时间也明显缩短（P<0.05）。结论：体外循环心内直视手术过程中吸入七氟醚麻醉能使循环功能更稳定，心、肺功能恢复更快。
目的：觀察在體外循環心內直視手術過程中吸入七氟醚對患者循環與呼吸功能的影響。方法：選擇70例體外循環下心髒直視手術的患者，按隨機數字錶法分為七氟醚組35例（Q組）和對照組35例（D組）。Q組在痳醉誘導和體外循環過程中吸入1%~3%的七氟醚，D組在痳醉誘導和體外循環中不使用七氟醚，使用異丙酚。觀察兩組患者的心率、血壓、氣管導管帶管時間、術後ICU留置時間等。結果：與D組比較，Q組在痳醉誘導及體外循環過程中血壓波動較小，更平穩（P<0.05）；氣管導管帶管時間和術後在ICU留置的時間也明顯縮短（P<0.05）。結論：體外循環心內直視手術過程中吸入七氟醚痳醉能使循環功能更穩定，心、肺功能恢複更快。
목적：관찰재체외순배심내직시수술과정중흡입칠불미대환자순배여호흡공능적영향。방법：선택70례체외순배하심장직시수술적환자，안수궤수자표법분위칠불미조35례（Q조）화대조조35례（D조）。Q조재마취유도화체외순배과정중흡입1%~3%적칠불미，D조재마취유도화체외순배중불사용칠불미，사용이병분。관찰량조환자적심솔、혈압、기관도관대관시간、술후ICU류치시간등。결과：여D조비교，Q조재마취유도급체외순배과정중혈압파동교소，경평은（P<0.05）；기관도관대관시간화술후재ICU류치적시간야명현축단（P<0.05）。결론：체외순배심내직시수술과정중흡입칠불미마취능사순배공능경은정，심、폐공능회복경쾌。
Objective:To observe the effect of sevoflurane inhalation on circulation and respiratory in patients undergoing cardiopulmonary bypass(CPB)surgery.Method:70 patients with heart surgery undergoing CPB were selected,and they were randomly divided into two groups,each group had 35 cases. The sevoflurane group(the group Q) were inhaled sevoflurane 1%-3%during anesthesia induction and CPB;the control group(the group D)were intravenous injected propofol during anesthesia induction and CPB. The HR,MAP,time of endotracheal tube,retention time in ICU were observed and recorded.Result:Compared with the group D,the fluctuations in blood pressure of the group Q were significantly reduced(P<0.05);the time of endotracheal tube and the retention time in ICU were significantly shortened (P<0.05).Conclusion:Sevoflurane inhalation can make a more stable circulation. The function of heart and lung are recovered faster.
