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ID:54589711
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时间:2020-05-02
《七氟烷与异氟烷对肥胖妇科腔镜手术患者呼吸和苏醒情况的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、上海医学2013年第36卷第1O期·863·●临床麻醉●七氟烷与异氟烷对肥胖妇科腔镜手术患者呼吸和苏醒情况的影响姜治国何虹【摘要】目的比较七氟烷与异氟烷吸人麻醉在Trendelenburg体位(既头低臀高位)下行妇科腹腔镜手术中肥胖患者的呼吸力学指标,及其术后苏醒和拔除气管导管的情况。方法选择8O例择期行妇科腹腔镜手术的肥胖患者,美国麻醉医师学会(ASA)分级I或Ⅱ级,随机分入七氟烷组和异氟烷组,每组4O例。于全身麻醉诱导气管插管后分别给予1.4最低肺泡有效浓度(MAC)的七氟烷和异氟烷吸入维持麻醉。分别于气管插管后5rain、气腹后5rain,以及Trendelenburg体位
2、后5、30min各时间点,监测患者的呼吸机气道峰压、平台压、胸肺顺应性、呼气末二氧化碳分压(P。CO。);记录术后苏醒时间(手术结束至唤醒时间)和拔管时间(手术结束至拔除气管导管时间)。结果两组气腹后5min和Trendelenburg体位后5、30rain时的气道峰压、平台压、PCO均显著高于同组气管插管后5rain时(P值均3、位后5、30rain时的胸肺顺应性均显著低于同组气腹后5min时(P值均4、eensevofluraneandisofluraneinhalationanesthesiaforgynecoIogicaIlaparoscopicsurgeryinobesepatientsJIANGZhiguo,HEHong.DepartmentofAnesthesiology,MaternalandChildrenHealthHospitalofChangningDistrict,Shanghai200051,ChinaCorrespondingauthor:HEHong.E-mail:pyhehon~『@sina.corn[Abstract]ObjectiveTocom5、paretherespiratoryparametersandpostoperativerecoveryinobesepatientsundergoinggynecologicallaparoscopicsurgeryinTrendeIenburgpositionbetweensevofluraneanesthesiaandisofluraneanesthesia.MethodsAtotalof80obesepatients,AmericanSocietyofAnesthesiOIOgists(ASA)Ior11,scheduledforselectivegynecologica6、llaparoscopicsurgerywereenrolledinthestudy.Theywererandomizedintoeithersevofluranegrouporisofluranegroup(n=40),receiving14m7、nimumalveolarcOncentratiOn(MAC)sevofluraneand1.4MACisofluraneafteranesthesiainduction.Preoperativerespiratoryparameters,includingairwaypeakpressure,platformpressure,ches8、t—pulmonarycomplianceandend-tidalpartialpressureofcarbondioxide(PetCO2),wererecordedat5minafterintubation,5minafterabdominal002insuflation,5minand30minafterTrendelenburgposition.POstOperativerecoverytimeandextubationtimewerealsorecorded.ResuI
3、位后5、30rain时的胸肺顺应性均显著低于同组气腹后5min时(P值均4、eensevofluraneandisofluraneinhalationanesthesiaforgynecoIogicaIlaparoscopicsurgeryinobesepatientsJIANGZhiguo,HEHong.DepartmentofAnesthesiology,MaternalandChildrenHealthHospitalofChangningDistrict,Shanghai200051,ChinaCorrespondingauthor:HEHong.E-mail:pyhehon~『@sina.corn[Abstract]ObjectiveTocom5、paretherespiratoryparametersandpostoperativerecoveryinobesepatientsundergoinggynecologicallaparoscopicsurgeryinTrendeIenburgpositionbetweensevofluraneanesthesiaandisofluraneanesthesia.MethodsAtotalof80obesepatients,AmericanSocietyofAnesthesiOIOgists(ASA)Ior11,scheduledforselectivegynecologica6、llaparoscopicsurgerywereenrolledinthestudy.Theywererandomizedintoeithersevofluranegrouporisofluranegroup(n=40),receiving14m7、nimumalveolarcOncentratiOn(MAC)sevofluraneand1.4MACisofluraneafteranesthesiainduction.Preoperativerespiratoryparameters,includingairwaypeakpressure,platformpressure,ches8、t—pulmonarycomplianceandend-tidalpartialpressureofcarbondioxide(PetCO2),wererecordedat5minafterintubation,5minafterabdominal002insuflation,5minand30minafterTrendelenburgposition.POstOperativerecoverytimeandextubationtimewerealsorecorded.ResuI
4、eensevofluraneandisofluraneinhalationanesthesiaforgynecoIogicaIlaparoscopicsurgeryinobesepatientsJIANGZhiguo,HEHong.DepartmentofAnesthesiology,MaternalandChildrenHealthHospitalofChangningDistrict,Shanghai200051,ChinaCorrespondingauthor:HEHong.E-mail:pyhehon~『@sina.corn[Abstract]ObjectiveTocom
5、paretherespiratoryparametersandpostoperativerecoveryinobesepatientsundergoinggynecologicallaparoscopicsurgeryinTrendeIenburgpositionbetweensevofluraneanesthesiaandisofluraneanesthesia.MethodsAtotalof80obesepatients,AmericanSocietyofAnesthesiOIOgists(ASA)Ior11,scheduledforselectivegynecologica
6、llaparoscopicsurgerywereenrolledinthestudy.Theywererandomizedintoeithersevofluranegrouporisofluranegroup(n=40),receiving14m
7、nimumalveolarcOncentratiOn(MAC)sevofluraneand1.4MACisofluraneafteranesthesiainduction.Preoperativerespiratoryparameters,includingairwaypeakpressure,platformpressure,ches
8、t—pulmonarycomplianceandend-tidalpartialpressureofcarbondioxide(PetCO2),wererecordedat5minafterintubation,5minafterabdominal002insuflation,5minand30minafterTrendelenburgposition.POstOperativerecoverytimeandextubationtimewerealsorecorded.ResuI
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