Effects of sevoflurane inhalation anesthesia on hemodynamic study in gy-necological laparoscopic surgery
- VernacularTitle:七氟醚全凭吸入麻醉对妇科腹腔镜手术中血流动力学的影响研究
- Author:
Lanying HUANG
1
;
Wenhua WAN
;
Chunhua LIU
Author Information
1. 浙江省东阳市红十字会医院麻醉科
- Keywords:
Sevoflurane;
Gynecological laparoscopic surgery;
Blood flow dynamics;
Inhalation anesthesia
- From:
China Modern Doctor
2015;(22):23-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the gynecologic laparoscopic surgery sevoflurane inhalation anesthesia on hemodynamics. Methods All 87 cases of patients in our hospital from May 2012 to May 2014 in Department of Obstetrics and Gyne-cology with laparoscopic surgery, were randomly divided into the observation group and the control group, the obser-vation group treated with sevoflurane inhalation anesthesia for laparoscopic surgery (n=44), the control group using combined spinal and epidural anesthesia for laparoscopic surgery(n=43),hemodynamic changes during operation in two groups of patients were compared. Results The RR, SpO2, PETCO2 in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05). T1 T0,the time of systolic blood pressure (SBP)and diastolic blood pressure (DBP)and heart rate did not change much after induction of anesthesia, and T2, T3 time point,the SBP,DBP,HR of control group were lower than those in the observation group, there was statistically sig-nificant difference between the two groups(P<0.05). Anesthesia was induced with T0,T1 time points,there was no sig-nificant difference in hormone levels in two groups of patients with NE,E,CORT,ATII in the blood(P>0.05);and T2 after induction of anesthesia, T3 time point, compared with the time point of T0, the difference was statistically signif icant(P<0.05). The observation group and the hormone levels were lower than the control group, the difference was statistically significant(P<0.05). Conclusion Laparoscopic surgery sevoflurane inhalation anesthesia, hemodynamics of patients with stable,safe and reliable means of anesthesia.
