无创心排血量监测仪对危重病人七氟醚麻醉诱导的监测

Non-invasive Cardiac Output Monitoring Instrument for Monitoring of Critical Patients Sevoflurane-induced

目的:本研究评价无创心排血量监测仪应用于危重病人七氟醚麻醉诱导监测血流动力学的临床价值。方法:择期Ⅲ级以上危重病人手术病人100例,于麻醉前连接Solar 8000M无创心排监测仪(美国GE公司生产)。在吸入6%七氟醚麻醉诱导下置入喉罩,分别于诱导前、置喉罩前、置喉罩时、置喉罩后1分钟及置喉罩后3分钟时监测患者平均动脉压(MAP)、心率(HR)、心排血量(CO)、心排指数(CI)、外周阻力(SVR)等指标。并比较CO、CI、SVR、和HR的变化。结果:诱导前后MAP、HR、CO、CI、SVR值的差异均无统计学意义(p>0.05)。结论:无创心排血量监测仪适用监测危重病人七氟醚麻醉诱导。

Objective ：This study evaluated non-invasive cardiac output monitor in critically ill patients used in the induction of anesthesia with sevoflurane clinical value of monitoring blood flow dynamics.Methods： Ⅲ above elective surgery were 100 cases of critically iii patients,before anesthesia connected Solar 8000M noninvasive cardiac output monitor（United States GE company production）.Inhaling 6% sevoflurane-induced in laryngeal mask airway,respectively,before induction,before laryngeal mask set,set when the laryngeal mask,laryngeal mask set after l min and 3min after laryngeal mask home monitoring of patients when the mean arterial pressure（MAP）,heart rate（HR）,cardiac output（CO）,heart Row index（CI）,peripheral vascular resistance（SVR） and other indicators.Compare the CO,CI,SVR,and HR changes.Results： Before and after induction of MAP,HR,CO,CI,SVR was no statistical significance（p0.05）.Conclusion： Non-invasive cardiac output monitoring instrument for monitoring of critical patients sevoflurane-induced.