CAJ | 학술논문

目的：探讨丙泊酚全凭静脉麻醉与七氟醚吸入麻醉对患者肺功能的影响。方法：选择496例手术患者，随机分为观察组和对照组。观察组患者吸入七氟醚行麻醉维持，对照组采用丙泊酚持续泵注行麻醉维持。测定两组麻醉前和苏醒后的肺功能。结果：两组均未出现严重后果不良反应，观察组和对照组苏醒后肺功能和本组麻醉前比较，差异有统计学意义（ P﹤0.05）；观察组苏醒后的用力肺活量高于对照组，差异有统计学意义（P﹤0.05）。结论：丙泊酚全凭静脉麻醉与七氟醚吸入麻醉均可引起患者肺功能下降，但后者肺功能下降幅度较小。
목적：탐토병박분전빙정맥마취여칠불미흡입마취대환자폐공능적영향。방법：선택496례수술환자，수궤분위관찰조화대조조。관찰조환자흡입칠불미행마취유지，대조조채용병박분지속빙주행마취유지。측정량조마취전화소성후적폐공능。결과：량조균미출현엄중후과불량반응，관찰조화대조조소성후폐공능화본조마취전비교，차이유통계학의의（ P﹤0.05）；관찰조소성후적용력폐활량고우대조조，차이유통계학의의（P﹤0.05）。결론：병박분전빙정맥마취여칠불미흡입마취균가인기환자폐공능하강，단후자폐공능하강폭도교소。
Objective To explore the effect of propofol total intravenous anesthesia and sevoflurane inhalation anesthesia on lung function in patients. Method 496 operation patients was selected and randomly divided into observation group and control group. continuous anesthesia with sevoflurane inhalation was used to the observation group,propofol infusion anesthesia maintained was given to the control group. The pul-monary function of two groups was checked before anesthesia and after waking. Results The serious adverse reactions were not caused in two groups. The pulmonary function in the observation group and the control group after waking compared with that before anesthesia,the difference was statistically significant(P﹤0. 05);The forced vital capacity in the observation group after waking was higher than that in control group after waking,the difference was statistically significant(P﹤0. 05). Conclusion The propofol total intravenous anesthesia and sevoflurane in-halation anesthesia may decrease the pulmonary function,but the latter declines moderately.