中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
35期
9-11
,共3页
妇科腹腔镜手术%血流动力学%七氟烷全凭吸入
婦科腹腔鏡手術%血流動力學%七氟烷全憑吸入
부과복강경수술%혈류동역학%칠불완전빙흡입
Gynecological laparoscopic operation%Hemodynamics%Sevoflurane total inhalation anesthesia
目的：探讨妇科腹腔镜手术中七氟烷全凭吸入麻醉对血流动力学的影响。方法选择该院2013年2月—2014年2月收治的55例妇科腹腔镜手术患者作为观察对象，对患者的临床资料进行收集，并做回顾性分析，55例患者全部予以七氟烷全凭吸入麻醉，对患者诱导前、诱导后气腹前和气腹后、放气后、拔管后各时段的血流动力学变化进行观察与对比。结果经观察，55例患者诱导前的各项血流动力学指标变化与气腹后差异无统计学意义（P>0.05)，气腹后5 min，15 min，25 min与诱导后气腹前MAP、CO、SVR相比较均明显升高（P<0.05)，但气腹后5 min、15 min、25 min以及放气后、拔管后各项血流动力学指标改变程度相比较，差异无统计学意义（P>0.05)。结论妇科腹腔镜手术中应用七氟烷全凭吸入麻醉过程平稳，患者血流动力学稳定，具有重要的应用价值。
目的：探討婦科腹腔鏡手術中七氟烷全憑吸入痳醉對血流動力學的影響。方法選擇該院2013年2月—2014年2月收治的55例婦科腹腔鏡手術患者作為觀察對象，對患者的臨床資料進行收集，併做迴顧性分析，55例患者全部予以七氟烷全憑吸入痳醉，對患者誘導前、誘導後氣腹前和氣腹後、放氣後、拔管後各時段的血流動力學變化進行觀察與對比。結果經觀察，55例患者誘導前的各項血流動力學指標變化與氣腹後差異無統計學意義（P>0.05)，氣腹後5 min，15 min，25 min與誘導後氣腹前MAP、CO、SVR相比較均明顯升高（P<0.05)，但氣腹後5 min、15 min、25 min以及放氣後、拔管後各項血流動力學指標改變程度相比較，差異無統計學意義（P>0.05)。結論婦科腹腔鏡手術中應用七氟烷全憑吸入痳醉過程平穩，患者血流動力學穩定，具有重要的應用價值。
목적：탐토부과복강경수술중칠불완전빙흡입마취대혈류동역학적영향。방법선택해원2013년2월—2014년2월수치적55례부과복강경수술환자작위관찰대상，대환자적림상자료진행수집，병주회고성분석，55례환자전부여이칠불완전빙흡입마취，대환자유도전、유도후기복전화기복후、방기후、발관후각시단적혈류동역학변화진행관찰여대비。결과경관찰，55례환자유도전적각항혈류동역학지표변화여기복후차이무통계학의의（P>0.05)，기복후5 min，15 min，25 min여유도후기복전MAP、CO、SVR상비교균명현승고（P<0.05)，단기복후5 min、15 min、25 min이급방기후、발관후각항혈류동역학지표개변정도상비교，차이무통계학의의（P>0.05)。결론부과복강경수술중응용칠불완전빙흡입마취과정평은，환자혈류동역학은정，구유중요적응용개치。
Objective To investigate the effect of sevoflurane total inhalation anesthesia used in gynecological laparoscopic opera-tion on the hemodynamics. Methods 55 cases underwent gynecological laparoscopic operation in our hospital were selected as the subjects. And the clinical data of them were collected and analyzed retrospectively. All the 55 patients were given sevoflurane total inhalation anesthesia. And the hemodynamic changes of the patients before the induction of anesthesia, after the induction of anes-thesia but prior to the creation of the pneumoperitoneum, during the pneumoperitoneum, after abdominal deflation, after extubation were observed and compared. Results The observation showed that there were no significant differences in hemodynamic parame-ters of the 55 patients before the induction of anesthesia and during the pneumoperitoneum(P>0.05), the MAP, CO and SVR 5min, 15min, 25min after the pneumoperitoneum were much higher than those after the induction of anesthesia but prior to the creation of the pneumoperitoneum (P<0.05), but there were no significant changes in hemodynamic parameters between the different times, 5min, 15min, 25min after the pneumoperitoneum, after abdominal deflation and after extubation (P>0.05). Conclusion Sevoflurane total inhalation anesthesia used in gynecological laparoscopic operation can make the anesthesia process and hemodynamics of the patients stable, so it is of great application value.
