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七氟醚和异丙酚全身麻醉对腹腔镜胆囊切除术中血流动力学的影响
引用本文:王建刚,吕洁萍.七氟醚和异丙酚全身麻醉对腹腔镜胆囊切除术中血流动力学的影响[J].实用医技杂志,2009,16(7):517-519.
作者姓名:王建刚  吕洁萍
作者单位:山西医科大学第一医院,030001
摘    要:目的观察比较七氟醚和异丙酚全身麻醉对腹腔镜胆囊切除术中血流动力学的影响。方法将60例择期全身麻醉腹腔镜胆囊切除术患者随机分为2组:S组(30例)为七氟醚吸入维持麻醉;P组(30例)为异丙酚静脉输注维持麻醉。分别记录麻醉开始前(T0)、插管时(T1)及插管后1min(T2)、3min(T3)、5min(T4)和术中腹腔充气前(T5)、充气后5min(T6)、手术结束时(T7)的心率(HR)、收缩压(SBP)、舒张压(DBP)、脉搏氧饱和度(SpO2)。结果2组患者麻醉诱导前、后血流动力学指标变化明显;S组较P组有更稳定的血流动力学表现。结论七氟醚维持麻醉用于腹腔镜胆囊切除术安全可靠,与静脉输注异丙酚相比,能更有效减轻CO2气腹对患者血流动力学的影响。

关 键 词:胆囊切除术  腹腔镜  麻醉  全身  七氟醚  异丙酚  血流动力学

The effects of sevoflurane and propofol in hemodynamics during laparoscopic cholecystectomy
WANG Jian-gang,L Jie-Ping.The effects of sevoflurane and propofol in hemodynamics during laparoscopic cholecystectomy[J].Journal of Practical Medical Techniques,2009,16(7):517-519.
Authors:WANG Jian-gang  L Jie-Ping
Institution:WANG Jian-gang,L(U) Jie-Ping
Abstract:Objective To investigate the effects of propofol and sevoflurane in hemodynamics during laparoscopic cholecystectomy. Methods Involved in this study were 60 patients undergoing elective laparoscopic cholecystectomy under general anesthesia. The patients were randomized into 2 groups: received anesthesia maintenance with propofol (P group, 30cases) and with sevoflurane(S group, 30cases). Hemodynamic parameters(blood pressure,heart rate,SpO2) were recorded at preanesthesia (TO) and the time of intubation (T1), 1 rain (T2), 3 rain (T3), 5 min (T4) after intubation, before(TS) and after (T6) pneumoperitoneum, after operation (T7). Results SBP, DBP, HR in the two Groups is lower after anesthesia than TO. Hemodynamic stability is more appropriate with sevoflurane than propofol. Conclusion Inhalation of sevoflurane can leads to less stress and minor variation in hemodynamics during laparoscopic choleeystectomy than injection of propofol does.
Keywords:Cholecystectomy  laparoscopic  Anesthesia  general  Sevoflurane  Propofol  Hemodynamic
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