Effects of inhalation-intravenous general anesthesia on stress response of patients with liver hydatidosis for pericystectomy
10.3969/j.issn.1006-5725.2014.10.018
- VernacularTitle:常规全麻下肝包虫外膜内完整摘除术期间应激反应的变化
- Author:
Hong JIANG
;
Xinyu PENG
;
Xiangwei WU
;
Shijie ZHANG
;
Zhigang DAI
- Publication Type:Journal Article
- Keywords:
Stress response;
General anesthesia;
Liver hydatidosis pericystectomy
- From:
The Journal of Practical Medicine
2014;(10):1576-1578
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the changes of stress response on inhalation-intravenous general anesthesia during pericystectomy for Liver hydatid cyst. Methods Thirty ASA I-II patients with liver hydatidosis for pericystectomy were studied. The blood from right jugular vein were collected for measurement of serum cortisol (Cor) concentrations and glucose (BG) levels, and MAP, HR and BIS were observed and recorded at different point-times: pre-intubation for 1 min, post-intubation for 3 min, pre-incision for 1 min, post-incision for 3 min, post-incision for 10 min, post-surgical exploration 10 min. The data of pre-intubation and pre-incision served as controls. Results The levels of Cor concentration of post-incision for 10 min were decreased than those of pre-intubation and pre-incision (P<0.05); MAP of post-incision for 10 min and post-surgical exploration for 10 min were increased than those of pre-intubation and pre-incision (P < 0.01); For HR, the data of post-surgical exploration 10 min was much quicker compared with pre-incision (P < 0.01), which is slower than that of pre-intubation(P<0.01). Conclusion Inhalation-intravenous general anesthesia may inhibit the stress response during intubation,incision and surgical exploration for liver hydatidosis pericystectomy. Hemodynamic changes during incision may reflect the trend of stress response in advance.
