异丙酚-安氟醚复合麻醉在食管癌根治术中的应用

Application of combined anesthesia with propofol and enflurane in radical esophagogastrostomy

观察异丙酚－安氟醚复合全麻在食管癌根治手术中的麻醉效果。方法：２０例食管癌患者在异丙 酚、芬太尼诱导，异丙酚、安氟醚、维库溴铵麻醉维持下施根治术。观察诱导前、后及麻醉中的血流动力学变化、术 毕患者清醒情况及不良反应。结果：诱导前后血压变化有显著差异，诱导后血压一过性下降；术中血压平稳。手术 时间（１７４± ２６）ｍｉｎ。异丙酚总用量（１６６± ６３）ｍｇ。手术结束至清醒时间在 １０ ｍｉｎ之内，无不良反应。结论：异丙酚－ 安氟醚复合麻醉两药具有协同作用，使麻醉维持平稳，血流动力学稳定，麻醉恢复迅速完全，无不良反应。

Aim:To observe the efficacy with propofol and enflurane in radical esophagogastrostomy.Methods: Twenty patients were operated under induction with propofol and fentanyl and maintenance with propofol,enflurane and vecurnium.We obwerved the changes of hemodynamics befor and after induction and during anesthesia,the recovery after operation and adverse reaction.Results:The blood pressure(Bp) was significantly different before and after induction.Induction caused a temporary dropof Bp.During the operation,the operation,the combined anesthesia maintainedBp steadily.Thewhole operation lasted(174±26)min.The total quantity of propofol was (166±63)mg.The time was not more than 10 minutes from the end of the operation to patient revival.No adverse reaction occurred. Conclusion:Propofol and enflurane work in synergism in combined anesthesia.Combination of intra.No adverse reaction occurred.Conclusion:Propofol and enflurane work in synergism in combined anesthesia.Combination of intra venous injection of propofol and inhalation of enflurane maintains anesthesia an hemodynamics steadily.The patient revives from anesthesia fast and completely.