参附注射液用于胃大部切除术围麻醉期临床观察

Effect on Shenfu Injection for subtotal gastrectomy of perioperative anesthesia

目的:观察参附注射液用于胃大部分切除术的临床疗效。方法:选择60例普外择期行胃大部分切除术患者,将其随机分为观察组和对照组,每组30例。观察组在麻醉诱导前静脉注射0.8ml/kg参附注射液,对照组仅给予平衡盐维持,其余麻醉处置相同。术中两组均常规给予多巴胺,阿托品等血管活性药物,分别记录麻醉前(T0)、气管插管即刻(T1)、插管后30 min(T2)以及插管后1 h(T3)的血流动力学指标。结果:与对照组相比,观察组能更早达到血流动力学稳定时间,对血压波动影响更小。结论:参附注射液对行胃大部分切除术冠心病患者可以改善循环系统的稳定性。

Objective：To observe the clinical efficacy of Shenfu Injection for the most gastric resection.Methods： ASA Ⅱ-Ⅲ patients undergoing elective surgery for 60 patients with subtotal gastrectomy, were divided into experimental group, control group randomly. The experimental group was divided into Shenfu group （A）, the control group treated with dopamine （B）. In the A group before induction of anesthesia with intravenous injection of 0.8ml/kg of Shenfu injection,and group B received balanced salt to maintain anesthesia, the disposal of the same. Patients were given dopamine, atropine and other vasoactive drugs, there were recorded before anesthesia（T0）, immediately after tracheal intubation （T1）, 30min after intubation （T2）, 1h after intubation（T3） hemodynamics.Results： Compared with the control group, the experimental group canachieve hemodynamic stability time earlier, smaller influence on the fluctuation of blood pressure.Conclusion： Shenfu Injection on patients with coronary heart disease underwentsubtotal gastrectomy to improve the stability of circulation system.