摘要
目的 研究腹腔镜胆囊切除手术时 ,艾司洛尔对二氧化碳气腹期间心血管反应的影响。方法 4 0例腹腔镜胆囊切除术病人 ,ASAⅠ～Ⅱ级 ,男 2 4例 ,女 16例 ,随机分为对照组 (Ⅰ组 )和艾司洛尔组 (Ⅱ组 ) ,每组 2 0例。Ⅱ组于气腹充气前缓慢静注艾司洛尔 1.0mg/kg ,观察两组病例的血流动力学变化。 结果 对照组气腹期间及气腹后的SP、DP、HR和RPP高于充气前 ,有显著性差异 (P <0 .0 5 ) ;艾司洛尔组气腹期间及气腹后SP、DP、HR和RPP与充气前比较 ,无显著性差异 (P >0 .0 5 ) ;两组之间比较 ,气腹期间及气腹后对照组各参数水平显著高于艾司洛尔组 (P <0 .0 5 )。结论 艾司洛尔可减轻腹腔镜手术气腹期间的心血管反应。
Objective\ To study the effect of esmolol on the cardiovascular responses during pneumopertineum of laparoscopic cholecystomy . Methods\ Forty patients undergoing elective laparoscopic cholecystomy, ASA gradeⅠ～Ⅱ, were randomly divided into control group (groupⅠ)(n=20), and esmolol group(group Ⅱ)(n=20) . Esmolol 1.0 mg/kg was given intravenously to group Ⅱbefore pneumoperitoneum,so that the changes in the hemodynamics in two groups were observed.Results\ SP,DP,HR,RPP in control group were higher during and after pneumoperitoneum than before (P<0.05);in esmolol group ,however, it had no significant differences(P>0.05) . And SP、DP、HR、RPP in group I were higher than those in groupⅡ during and after pneumoperitoneum (P<0.05). Conclusion\ During pneumoperitoneum of laparoscopic Chloecystomy , esmolol could reduce the cardiovascular responses.
出处
《皖南医学院学报》
CAS
2002年第4期299-300,共2页
Journal of Wannan Medical College
关键词
艾司洛尔
胆囊切除术
腹腔镜
气腹
人工
心血管疾病
cholecystectomy,laparoscopic
pneumoperitoneum ,artificial
cardiovascular diseases
esmolol
