Effect of medical compression elastic stockings or intermittent pneumatic pressure pumps on intraoperative hemodynamics in patients in lithotomy position under general anesthesia
10.3760/cma.j.cn131073.20200510.00721
- VernacularTitle:医用加压弹力袜或间歇式充气压力泵对截石位全麻患者术中血流动力学的影响
- Author:
Jianru DAI
1
;
Chen HUANG
;
Gang QIAN
;
Guangming ZHANG
Author Information
1. 上海交通大学医学院附属同仁医院麻醉手术科 200336
- Keywords:
Physical therapy modalities;
Lower extremity;
Posture;
Hemodynamics;
Anesthesia, general
- From:
Chinese Journal of Anesthesiology
2021;41(7):858-860
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of medical compression elastic stockings or intermittent pneumatic pressure pumps on intraoperative hemodynamics in patients in the lithotomy position under general anesthesia.Methods:A total of 100 patients, aged 30-59 yr, of American Society of Anesthesiologists physical status Ⅰ or Ⅱ, scheduled for elective colorectal surgery or gynecological surgery in the lithotomy position under general anesthesia, with expected operation time>60 min, were divided into 2 groups ( n=50 each) using a random number table method: pressure pump group (group PP) and elastic stocking group (group ES). After entering the operating room (T 0), immediately after anesthesia induction (T 1), at 5 and 30 min of the lithotomy position (T 2, 3) and at the end of surgery (T 4), systolic and diastolic blood pressure (SBP, DBP) and heart rate (HR) were measured, and the requirement for vasoactive agents was recorded. Results:Compared with the values at T 0, SBP was significantly decreased at T 1-3 in group PP and at T 1 in group ES ( P<0.05). Compared with group PP, SBP was significantly increased at T 2, 3 in group ES ( P<0.05), no significant change was found DBP and HR at each time point ( P>0.05), and the intraoperative consumption of ephedrine was reduced ([16±9]mg vs.[8±5]mg, P<0.05). Conclusion:Medical compression elastic stockings produces less interference in intraoperative hemodynamics in patients in the lithotomy position under general anesthesia, and its safety is better than intermittent pneumatic pressure pumps.
