| 张志明1 张大伟2 刘帆1 刘翔麟3.不同麻醉方式对子宫切除患者血液动力学的影响*[J].,2012,12(15):2917-2919 |
| 不同麻醉方式对子宫切除患者血液动力学的影响* |
| The Impact on Haemodynamics of Hysterectomy Patients by DifferentAnesthesia Methodes* |
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| DOI： |
| 中文关键词: 全麻复合硬膜外麻醉 全身麻醉 子宫切除术 血液动力学 |
| 英文关键词: General anaesthesia combined epidural anesthesia General anaesthesia Hysterectomy Haemodynamics |
| 基金项目:湖南省科研条件创新专项（2010TT2032） |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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