摘要
目的:探索全麻复合硬膜外麻醉和全身麻醉用于子宫切除术对血液动力学的影响。方法:36例行子宫切除术患者,随机分成全麻组(A组,18例)和硬膜外+全麻组(B组,18例),采用Swan-Ganz导管技术,监测手术时血液动力学变化。结果:A组HR、MAP、CVP、SVR及CI均明显增加,SV无明显变化;B组除CVP明显上升外,其余各指标均无明显变化。结论:全麻复合硬膜外麻醉下施行子宫切除术,能减轻术中应激反应,稳定血液动力学。
Objective： To explore the impact on haemodynamics of hysterectomy patients by different anesthesia methodes.Methods： Thirty-six hysterectomy patients were divided into general anaesthesia group（Group A,18 patients） and general anaesthesia combined epidural anesthesia group（Group B,18 patients） randomly.The hemodynamic change was detected by Swan-Ganz catheter technique during the operation.Results： The HR,MAP,CVP,SVR and CI of Group A increase apparently,but the SV doesn＇t change apparently.The CVP of Group B increases apparently.Besides CVP,other indexes don＇t change apparently.Conclusion： The general anaesthesia combined epidural anesthesia chould reduce the intraoperative stress reponse and stabilize haemodynamics during the hysterectomy operation.
出处
《现代生物医学进展》
CAS
2012年第15期2917-2919,共3页
Progress in Modern Biomedicine
基金
湖南省科研条件创新专项(2010TT2032)
关键词
全麻复合硬膜外麻醉
全身麻醉
子宫切除术
血液动力学
General anaesthesia combined epidural anesthesia
General anaesthesia
Hysterectomy
Haemodynamics
