Effects of two different anesthesia methods on temperature, perfusion index and coagulation function
10.3760/cma.j.issn.1008-6706.2019.22.017
- VernacularTitle: 两种不同麻醉方式对大隐静脉曲张手术患者体温、脉搏氧灌注指数和凝血功能的影响
- Author:
Ke LIU
1
,
2
;
Lan LAI
1
,
2
;
Qinhua DING
3
;
Yaping LU
3
;
Yongxiang LUO
3
;
Jieyan GAO
3
Author Information
1. Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China
2. Department of Anesthesiology, the First Affiliated Hospital of Jiaxing Medical College, Jiaxing, Zhejiang 314000, China
3. Department of Anesthesiology, the First Affiliated Hospital of Jiaxing Medical College, Jiaxing, Zhejiang 314000, China
- Publication Type:Journal Article
- Keywords:
Anesthesia, general;
Intravertebral anesthesia;
Operations on great saphenous vein varices;
Temperature;
The tympanic membrane temperature;
Perfusion Index;
Coagulation function;
Thrombologram
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(22):2756-2759
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of general anesthesia and intravertebral anesthesia on the patients' temperature, perfusion index(PI) and coagulation function.
Methods:From January 2016 to December 2017, 60 patients in the First Hospital of Jiaxing undergoing elective line of great saphenous varicose veins surgery were selected.According to the random number table, the patients were divided into the general anesthesia group(group G, n=30) and intraspinal anesthesia group(group I, n=30). The general condition, operation time, the core temperature(tympanic membrane temperature) before anesthesia(T0), 10 min after anesthesia(T1), 20 min later(T2), 30 min later(T3), and the PI with no-infusion upper limb were recorded.The changes of coagulation function before anesthesia(T0) and after surgery(T4) were observed by extraction of the thrombus(TEG).
Results:The core body temperature of T1, T2 and T3 was significantly decreased in both two groups(FG=58.789, P=0.000, FI=2.965, P=0.035), and the hypothermia of group G was greater than that of group I(t1=-2.998, t2=-5.985, t3=-7.705; P<0.05). The PI of T1, T2 and T3 was significantly higher than T0 in both two groups(FG=5.439, P=0.002, FI=3.404 P=0.020), and the increase of group G was greater than that of group I(t1=2.065, t2=2.041, t3=2.649; P<0.05). In group G, TEG examination was significantly prolonged(F=5.482, P=0.023), and no significant changes were observed in group I.
Conclusion:The hypothermia of the patients and the increase of PI increased significantly, and the R time index of TEG is prolonged, and the anesthesia in the spinal canal has no obvious effect on the coagulation function.
