不同麻醉方式对肺癌根治术患者血流动力学的影响

目的 探讨2种麻醉方式对肺癌根治术患者血流动力学的影响.方法 按照入院顺序抽签后随机将80例接受肺癌根治术治疗的患者均分为实验组和对照组.实验组舒芬太尼+丙泊酚靶控注射,对照组舒芬太尼静脉恒定速度注射+丙泊酚靶控注射.比较2组血流动力学指标变化情况、麻醉苏醒情况和麻醉停止后意识程度.结果 2组患者t1和t2时刻SBP、DBP、HR水平均明显低于同组t0时刻,有统计学差异(P＜0.05);2组患者t3时刻SBP、DBP、HR水平与同组t0时刻相近,差异无统计学意义(P＞0.05).2组间t0、t1、t2、t3时刻SBP、DBP、HR水平对比,差异无统计学意义(P＞0.05).实验组患者术后拔管时间、睁眼时间、定向力恢复时间均明显低于对照组,有统计学差异(P＜0.05);2组患者术后呼吸恢复时间对比,差异无统计学意义(P＞0.05).2组患者麻醉停止即刻、麻醉停止后30 min及麻醉停止后60 min OAA/S评分对比,差异无统计学意义(P＞0.05).结论 舒芬太尼+丙泊酚靶控注射麻醉效果确切,能够有效缩短术后麻醉苏醒时间,可作为优选麻醉方案.

Hemodynamic Effects of Two Kinds Anesthesia on Lung Cancer Patients Underwent Radical Surgery

Objective To explore the hemodynamic effects of 2 kinds anesthesia on lung cancer patients underwent radical surgery.Methods 80 cases of patients with Lung Cancer were divided into the experiment group and the control group.The anesthesia of the experiment group was target controlled infusion with combination of sufentanil and propofol,the control group was sufentanil intravenous injection with constant velocity.The hemodynamic,anesthesia emergence and degree of consciousness after anesthesia stop were compared.Results The levels of SBP,DBP,HR for 2 groups t1 and t2 were lower than t0(P＞0.05);The levels of SBP,DBP,HR for the 2 groups t3 were the same as t0(P＞0.05);There were no difference in the levels of SBP,DBP,HR between the 2 groups t0、t1、t2、t3(P＞0.05);The time of decannulation rate,open eyes,recovery time of orientation in the experiment group were lower than the control group(P＜0.05);The time of breathing returns to normal in the experiment group was the same as the control group(P＞0.05);The score of OAA/S in the experiment group anesthesia stop,30 min after anesthesia stop,60 min after anesthesia stop in the experiment group were the same as the control group(P＞0.05).Conclusion It has good anesthetic effect for the target controlled infusion with combination of sufentanil and propofol.It can improve the time of anesthesia emergence.It can be used by the optimization anesthesia.