摘要
观察硬膜外阻滞与全麻下腹腔镜胆囊切除术(LC)时病人围手术期血浆肾素活性(PRA)与血管紧张素Ⅱ(AⅡ)的浓度变化,并与开腹胆囊切除术(OC)比较,结果发现两种麻醉下行LC时PRA与血浆AⅡ浓度均明显高于OC组,而以硬膜外阻滞者增高更为显著。提示不同麻醉方式下行LC时对人体应激系统和生理代谢的影响不尽相同。
This study observed the changes of plas-ma renin activity(PRA ) and plasma an-giotensin Ⅱ(AⅡ)concentration in patientsunder general or epidural anesthesia during la-paroscopic cholecystectomy(LC )and comparedthese changes with that in patients during op-erative cholecystectomy(OP).It was foundthat during LC PRA and plasma A Ⅱ concen-tration in patients were significantly elevatedas compared with those during OP,and thesechanges were more marked in patients underepidural anesthesia than in patients under gen-eral anesthesia The mechanism of thesechanges was also discussed.
出处
《中华实验外科杂志》
CSCD
北大核心
1995年第6期346-347,共2页
Chinese Journal of Experimental Surgery