| 全凭静脉麻醉对腹腔镜手术CO2气腹患者内脏器官灌注的影响 |
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| 引用本文： | 李杰. 全凭静脉麻醉对腹腔镜手术CO2气腹患者内脏器官灌注的影响[J]. 解剖与临床, 2008, 13(6): 424-426 |
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| 作者姓名： | 李杰 |
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| 作者单位： | 广东医学院附属深圳市第三人民医院,深圳市东湖医院麻醉科,广东深圳,518020 |
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| 摘 要： | 目的：观察异丙酚-舒芬太尼全凭静脉麻醉对腹腔镜下CO2气腹患者内脏器官灌注的影响。方法：40例择期行腹腔镜手术的患者,随机均分为异氟醚静吸复合麻醉组（静吸组）和异丙酚-舒芬太尼全凭静脉麻醉组（静脉组）。测定气腹前（T0）、气腹后30min（T1）、60min（T2）和放气后10min（T3）时动脉pH（pHa）、PaCO2、i-pH、PgCO2和PCO2gap。术中同时记录心电图（ECG）、心率（HR）、收缩压（SBP）、舒张压（DBP）、血氧饱和度（SpO2）、气道压力（AWP）。结果：与T0比较,两组T1、T2和静吸组T3时PCO2gap升高,i-pH降低（P〈0.01或P〈0.05）。与静吸组比较,静脉组T1、T2和T3时PCO2gap降低,i-pH升高（P〈0.05）。与T0比较,两组T1、T2的AWP和HR升高（P〈0.01）。两组SBP、DBP、SpO2、pHa无显著性差异。结论：异丙酚-舒芬太尼全凭静脉麻醉可减轻腹腔镜患者CO2气腹期间的内脏低灌注,优于静吸复合麻醉。
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| 关 键 词： | 全凭静脉麻醉 腹腔镜手术 气腹 内脏灌注 |
Effects of Total Intravenous Anesthesia on the Splanchnic Perfusion in Patients Undergoing Laparoscopy |
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| LI Jie. Effects of Total Intravenous Anesthesia on the Splanchnic Perfusion in Patients Undergoing Laparoscopy[J]. Anatomy and Clinics, 2008, 13(6): 424-426 |
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| Authors: | LI Jie |
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| Affiliation: | LI Jie.Department of Anesthesiology,the Third affiliated Hospital of Guangdong Medical College,Shenzhen 518020,China |
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| Abstract: | Objective:To investigate effects of total intravenous anesthesia with propofol and sulfentanil on the splanchnic perfusion in the patients undergoing laparoscopy. Methods:Forty patients undergoing elective laparoscopy were randomly divided into two groups,namely,combined group (intravenous injection of propofol -isoflurane combined with inhalation anesthesia of isoflurane) and intravenous group (intravenous injection of propofol and sulfentanil only). Arterial pH (pHa),PaCO2,PgCO2 intramucosal pH (i-pH ) an... |
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| Keywords: | Total intravenous anesthesia Laparoscopy Pneumoperitoneum Splanchnic perfusion |
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