七氟烷吸入麻醉对老年胃癌根治术患者血流动力学和苏醒质量的影响

The Effect of Seven Isoflurane Inhalation Anesthesia on Hemodynamics and Recovery Quality for Elderly Patients with Gastric Cancer Radical Mastectomy

目的观察七氟烷吸入麻醉对老年胃癌根治术患者血流动力学及苏醒质量的影响。方法将2011年10月至2013年3月期间来我院进行胃癌根治手术的老年患者随机分成两组,对照组和观察组各42例。对照组采用静脉全麻法,观察组采用氟烷吸入麻醉复合静脉麻醉,比较麻醉前、手术过程中及手术结束后两组间血流动力学差异,比较两组间术后苏醒质量差异。结果手术过程中及术后,观察组HR、SBP、DBP波动明显小于对照组;观察组苏醒期躁动分级为0级及气管拔管前精神状态为安静的比例显著高于对照组(P<0.05)。结论采用七氟烷吸入法对老年胃癌根治术患者进行麻醉,对患者血流动力学影响小,术后患者苏醒质量高。

Objective To observe the effect of seven isoflurane inhalation anesthesia in radical operation of hemodynamics and recovery for elderly patients with gastric cancer. Methods Elderly patients with radical operation of gastric cancer from October 2011 to March 2013 in our hospital were randomly divided into two groups： the observation group and the control group, with 42 cases in each group. The control group was taken with intravenous anesthesia method, and the observation group was taken with isofiurane inhalation anesthesia combined with intravenous anesthesia. The hemodynamic differences before anesthesia, during operation and after operation between the two groups were compared. The differences in the quality of postoperative recovery between the two groups were compared. Results In the process of operation and postoperative operation, the HR, SBP, DBP wave in the observation group was significantly less than the control group. The rate of emergence agitation graded as grade 0 and tracheal extubation of mental state for quiet in the observation group was significantly higher than that in the control group （P 〈0.05）. Conclusions The application of seven halothane inhalation anesthesia in elderly patients with gastric cancer radical resection has little effect on hemodynamics in patients, and helps to improve the quality of postoperative recovery.