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研究

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。

Effect of Sevoflurane Total Inhalation Anesthesia Used in Gynecological Laparoscopic Operation on the Hemodynamics

Objective To investigate the effect of sevoflurane total inhalation anesthesia used in gynecological laparoscopic operation 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 parameters of the 55 patients before the induction of anesthesia and during the pneumoperitoneum（P0.05）, the MAP, CO and SVR 5min,15 min, 25 min after the pneumoperitoneum were much higher than those after the induction of anesthesia but prior to the creation of the pneumoperitoneum（P0.05）, but there were no significant changes in hemodynamic parameters between the different times,5min, 15 min, 25 min after the pneumoperitoneum, after abdominal deflation and after extubation（P0.05）. 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.