摘要
78例妇科腹腔镜镜下手术,采用微泵控制新型麻醉药异丙酚静脉麻醉。通过对比3种不同输注方法、不同输注速度的麻醉效果、用药总量与苏醒时间。结果表明:采用微泵输注以8mg.kg^(-1)/h的恒速可维持较理想的麻醉效果。文中还对腹腔镜手术在高腹内压、高CO_2环境下,异丙酚静脉全麻对自主呼吸和循环功能的影响作了详细观察,表明心肺功能正常的患者,可以通过呼吸功能代偿来维持PEtCO_2的正常,本剂量下的异丙酚未见对呼吸中枢及循环系统有明显抑制作用。
Seventy- eight Gynecological patients, under propofol intravenous anesthesia controlled by microsyringe for peritoneoscope operation were studied. They were divided into three groups by different anesthesia methods. The results showed that 8mg·kg^(-1). h^(-1) of poropfol can porvid effective maintaining anesthesia. The propofol on spontanous respiration and circulative function were observed in the high abdominal cavity pressure induced by carbon dioxide circumstances. The normal cardial and pulmonary function and ETCO_2 can be maintained through the respiratory compensation in the health patients, Propofol did not significant inhibit the respiratory and circulatory function in this study.
出处
《广东医学》
CAS
CSCD
1996年第12期793-795,共3页
Guangdong Medical Journal
