河北医学2011，Vol.17Issue(1)：45-47,3.DOI:10.3969/j.issn.1006-6233.2011.01.016
七氟醚和异丙酚复合麻醉在腹腔镜下宫颈癌根治术中患者脑血流量和颅内压的比较研究
Comparing the Changes of Cerebral Blood Flow and Intracranial Pressure during Laparoscopic Gynecologic Surgery under Propofol and Sevollurane Combined Anesthesia
宋成伟1
作者信息
- 1. 山东省济宁市第一人民医院麻醉科,山东济宁,272100
- 折叠
摘要
Abstract
Objective: To research and compare the changing situation of cerebral blood flow and intracranial pressure during laparoscopic gynecologic surgery performed under propofol and sevofiurane combined anesthesia . Method: Thirty ASA Ⅰ or Ⅱ patients were randomly divided into two groups ( n ＝ 15 each) :group Ⅰ and group Ⅱ. Anesthesia was induced with TCI of propofol in group Ⅱ or 8％ sevoflurane in group Ⅰ combined with TCI of remifentanil. Cerebral blood flow velocity and pulsatility index determined by TCD were recorded at 5 min after supine position ( T1 ) and 5 min after supine lithotomy position before induction ( T2 ), while tracheal tube was being inserted ( T3 ), 5 min after tracheal intubation ( T4 ), immediately and 15 rain after abdominal CO2 insufflation in trendelenburgiithotomy position ( T5 and T6 ), and at 10 min deflation of abdomen ( T7 ). Result: Cerebral blood flow velocity was significantly decreased at T3,4 in group Ⅱ and at T4.7 in group Ⅰ as compared with the baseline at T1, but it was increased at T5.6 in beth of the two groups;Pulsatility index was significantly decreased at T3.4 in group Ⅱ and at T4.7 in group Ⅰ ,but it was increased at T5,6 in both of two groups. Conclusion: When combined with remifentanil, sevoflurane could decrease significantly cerebral blood flow velocity and pulsatility index as propofol without significant effect on cerebral blood flow velocity and pulsatility index after deflation of abdomen. But propofol could decrease significantly cerebral blood flow velocity and pulsatility index before deflation of abdomen.关键词
七氟醚/异丙酚/脑血流量/颅内压/搏动指数Key words
Sevofiurane/ Propofol/ The cerebral blood flow/ Intracranial pressure/ Pulsatility index引用本文复制引用
宋成伟..七氟醚和异丙酚复合麻醉在腹腔镜下宫颈癌根治术中患者脑血流量和颅内压的比较研究[J].河北医学,2011,17(1):45-47,3.
