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七氟醚-芬太尼-顺式阿曲库铵麻醉诱导对肺功能异常患者血流动力学的影响
作者:黄亚医  
单位:武汉大学人民医院
关键词:七氟醚 吸入诱导 肺功能 血流动力学 
分类号:
出版年·卷·期(页码):2014··第十二期(0-)
摘要:

目的 探讨七氟醚-芬太尼-顺式阿曲库铵麻醉诱导对肺功能异常患者血流动力学的影响。方法 选择30例需择期手术治疗的患者依肺功能检查结果分为A(正常组)、B(代偿组)、C(异常组)三组。采用8%-6%-4%浓度递减法行吸入诱导,记录诱导过程中血压、心率的变化。结果 与诱导前血压相比,3组患者插管前低血压的发生率均较高,插管后1min平均动脉压(MAP)、心率(HR)值A组与C组有统计学差异(P<0.05),A组高于C组;插管后2min和3minMAP值A与B、C组比较均有统计学差异(P<0.05),后两组下降幅度高于A组。相对血压的较大波动而言,心率在插管前后均处于一个较稳定的水平。结论 七氟醚-芬太尼-顺式阿曲库铵麻醉诱导时肺功能异常患者血流动力学稳定性较肺功能正常者差,血压下降幅度明显。

Objective To investigate the Influence of hemodynamic on patients with pulmonary function abnormalities under the anesthesia of sevoflurane fentanyl cisatracurium. Methods Thirty patients were divided into three groups according to pulmonary function test results(A-B-C ,normal-middle-abnormal). The inhalation concentration we chose 8%-6%-4%. Mean arterial pressure(MAP),heart rate(HR) were recorded. Results Compared with the MAP before induction, all of the 3groups had a higher incidence of hypotension than before intubation.1minute after intubation MAP and HR had a statistically difference between A and C(P<0.05), group A was higher than group C.2 minute and 3minute after intubation ,MAP had a statistically difference between A and B、C(P<0.05), group B and C had a higher decrease than group A. Conclusion Patients with pulmonary function abnormalities had a lower hemodynamic stability than normal lung function under the anesthesia of sevoflurane fentanyl cisatracurium, the MAP decreased significantly.

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