海南医学院学报2017，Vol.23Issue(18)：2521-2523,2527,4.DOI:10.13210/j.cnki.jhmu.20170906.001
全身麻醉对妇科手术患者血液流变学、血流动力学以及血E、NE、COS水平的影响
Effect of general anesthesia on hemorrheology, hemodynamics and levels of blood E, NE and COS in patients undergoing gynecological surgery
摘要
Abstract
Objective:To investigate the influence of general anesthesia on hemorheology,hemodynamics and blood E,NE and COS levels in patients undergoing gynecological surgery.Methods 87 cases of gynecologic laparoscopic surgery in our hospital from November 2015 to June 2017 were selected as subjects,all patients underwent general anesthesia for surgery,at the time of T1,T2,T3,the index of EDI,ηP,whole blood viscosity of blood rheology (high,middle and low shear),hemodynamic indexes of HR,BP,E,NE,SPO2 and serum COS level were measured.Results (1)Compared with T1,87 patients' HSV,MSV,LSV,rηP,EAI levels were significantly lower in T2 and T3,the difference was statistically significant (P ＜0.05),but there was no significant changes in the EDI three times (P＞0.05);(2)Compared with T1,the levels of HR,SBP and DBP in 87 patients were significantly increased at T2 and T3,the difference was statistically significant (P＜0.05),while the change of SPO2 levels at three moments was not statistically significant (P＞0.05);(3)Compared with T1,the blood E,NE and COS levels in 87 patients increased significantly at T2 and T3,and the difference was statistically significant (P ＜0.05).Conclusion Application of general anesthesia in gynecological surgery,can significantly reduce the blood viscosity of patients,but will increase the heart rate and blood pressure and blood E,NE and COS levels,therefore,during the operation,the patient's signs should be monitored comprehensively and closely.关键词
全身麻醉/妇科手术/血液流变学/血流动力学Key words
General anesthesia/Gynecologic Surgery/blood rheology/hemodynamics分类
医药卫生引用本文复制引用
杨海龙,杨祎..全身麻醉对妇科手术患者血液流变学、血流动力学以及血E、NE、COS水平的影响[J].海南医学院学报,2017,23(18):2521-2523,2527,4.基金项目
陕西省科技厅科技攻关项目(2016SFD-02) （2016SFD-02）
It is supported by Science and Technology Development Project of Shaanxi Science and Technology Department (2016SFD-02). （2016SFD-02）
