硬膜外复合全麻可减少异氟醚吸收量的临床研究被引量：1

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摘要目的探究硬膜外复合全麻方法的有利作用。方法选择妇科子宫内膜异位症患者,ASAⅡ～Ⅲ级29例,随机分成Ⅰ、Ⅱ2组,静吸复合全麻组(Ⅰ组,n=14),硬膜外复合全麻组(Ⅱ组,n=15)。记录术前与术中患者血压(BP)、心率(HR)变化,以及术中双频指数(BIS)和最低肺泡有效浓度(MAC)值,观察麻醉过程,记录并研究2组结果。结果Ⅰ组与Ⅱ组术中SBP、DBP、HR差异具有统计学意义(P<0.05),Ⅰ组中BIS平均(54.58±8.37),MAC平均为(0.8679±0.2154)。Ⅱ组中BIS平均为(67.48±8.51),MAC平均为(0.3163±0.0062),2组比较差异有统计学意义(P<0.01)。结论硬膜外复合全麻可减少异氟醚吸收量,减少药物浓度,减轻大脑的抑制程度。

作者朱志凌

机构地区天津市中心妇产科医院天津医科大学中心妇产科临床学院

出处《中外医疗》 2011年第30期19-19,21,共2页 China & Foreign Medical Treatment

关键词硬膜外复合全麻异氟醚吸收量

分类号 R614.42 [医药卫生—麻醉学]

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参考文献2

1梁汉生,严相默,卢兰生,杨占民.硬膜外麻醉复合吸入全麻对异氟醚最低肺泡清醒浓度的影响[J].中国现代医学杂志,2006,16(1):81-83. 被引量：1
2杨雪媛,胡晓,吴新民.高位或低位硬膜外麻醉复合全麻病人围术期心率变异性的变化[J].中华麻醉学杂志,2006,26(11):965-968. 被引量：15

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