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| 不同麻醉方式对子宫切除患者血液动力学的影响* | |
| 引用本文： | 张志明,张大伟,刘帆,刘翔麟.不同麻醉方式对子宫切除患者血液动力学的影响*[J].现代生物医学进展,2012,12(15):2917-2919. |
| 作者姓名： | 张志明 张大伟 刘帆 刘翔麟 |
| 作者单位： | 1. 湖南省中医药研究院附属医院麻醉科 湖南长沙410006 2. 中南大学湘雅三医院普外科 湖南长沙410013 3. 长沙市妇幼保健院麻醉科 湖南长沙410002 |
| 基金项目： | 湖南省科研条件创新专项(2010TT2032) |
| 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。 |
| 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 |
The Impact on Haemodynamics of Hysterectomy Patients by Different Anesthesia Methodes* |
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| ZHANG Zhi-ming,ZHANG Da-wei,LIU Fan,LIU Xiang-lin.The Impact on Haemodynamics of Hysterectomy Patients by Different Anesthesia Methodes*[J].Progress in Modern Biomedicine,2012,12(15):2917-2919. | |
| Authors: | ZHANG Zhi-ming ZHANG Da-wei LIU Fan LIU Xiang-lin |
| Institution: | 1.Dept.of Anesthesia of Traditional Chinese Medicine and Pharmacy Academy Affiliated Hospital of Hunan province,Changsha 410006,China;2.Dept.of General Surgery of the Third Xiang-Ya Hospital of Central South University,Changsha 410013,China; 3.Dept.of Anesthesia of Maternal and Child Care Service Centre of Changsha,Changsha 410006,China) |
| Abstract: | 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. |
| Keywords: | General anaesthesia combined epidural anesthesia General anaesthesia Hysterectomy Haemodynamics |
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