CAJ | 학술논문

目的：探讨七氟醚全身麻醉后不同新鲜气流量对腹部手术患者术毕苏醒期的影响。方法：择期腹部手术患者181例，年龄20～70岁，ASA分级Ⅰ～Ⅱ级，分为A组112例、B组69例。术中选用七氟醚麻醉维持，A组：手术结束时给予≤2 L／min的新鲜气流量通气；B组：手术结束时给予＞2 L／min 的新鲜气流量通气。记录患者术毕自主呼吸恢复时间、睁眼时间（手术结束至睁眼）、气管导管拔出时间（手术结束至拔管时间）。结果：A、B两组患者术毕给予不同新鲜气流量后对自主呼吸恢复时间、睁眼时间、拔管时间无统计学意义（P ＞0．05）。患者性别、术中维持七氟醚时间对自主呼吸恢复所用时间有统计学意义（P ＜0．05）。结论：手术结束后分别给予≤2 L／min和＞2 L／min 新鲜气体通气对患者的苏醒时间无明显影响，性别和术中维持七氟醚时间的长短对患者的自主呼吸恢复时间有影响。
목적：탐토칠불미전신마취후불동신선기류량대복부수술환자술필소성기적영향。방법：택기복부수술환자181례，년령20～70세，ASA분급Ⅰ～Ⅱ급，분위A조112례、B조69례。술중선용칠불미마취유지，A조：수술결속시급여≤2 L／min적신선기류량통기；B조：수술결속시급여＞2 L／min 적신선기류량통기。기록환자술필자주호흡회복시간、정안시간（수술결속지정안）、기관도관발출시간（수술결속지발관시간）。결과：A、B량조환자술필급여불동신선기류량후대자주호흡회복시간、정안시간、발관시간무통계학의의（P ＞0．05）。환자성별、술중유지칠불미시간대자주호흡회복소용시간유통계학의의（P ＜0．05）。결론：수술결속후분별급여≤2 L／min화＞2 L／min 신선기체통기대환자적소성시간무명현영향，성별화술중유지칠불미시간적장단대환자적자주호흡회복시간유영향。
Objective To investigate the effect of different volume of fresh gas on postoperative analepsia period of general anesthesia with sevoflurane in patients undergoing abdominal surgery. Methods 181 ASAⅠ-Ⅱpatients aged 20 - 70 undergoing elective abdominal surgery were divided into group A (112 patients) and group B (69 patients). Both groups received sevoflurane general anesthesia during surgery. At the end of surgery , group A received fresh gas for no more than 2L/min , and group B received the gas for more than 2L/min. The recovery time of spontaneous breathing, eye-opening time (from the end of surger to eye opening), and time of endotracheal extubation (from the end of surgery to endotracheal extubation ) were recorded. Results There were no significant differences in the recovery time of spontaneous breathing ,eye-opening time and time of endotracheal extubation between group A and group B (P > 0.05); Gender and time of intraoperative continuous uses of sevoflurane had effects on the recovery time of spontaneous breathing , which showed statistical significances (P < 0.05). Conclusions Uses of fresh gas for no more than 2L/min or more than 2L/min after surgery have no marked effects on the recovery time. However , gender and time of intraoperative continuous uses of sevoflurane may have effects on the recovery time of spontaneous breathing.