Of two different anesthesia methods on liver function in patients with liver surgery Comparison of the effects.docVIP

 PAGE \* MERGEFORMAT 2 Of two different anesthesia methods on liver function in patients with liver surgery Comparison of the effects Author: Xue runner-up, Zhang Shuming, Shen Qi-xiang, YU Ming Jian Xinmin, Du Jialing [Abstract] Objective To compare static  priming combined intravenous anesthesia and epidural anesthesia on hepatocellular carcinoma in patients with liver function. Methods ASA Ⅰ ~ Ⅱ grade Child  Pugh classified as A-grade hepatic resection 30 patients were randomly divided into combined group, control group 15 cases. The Joint Group T8 ~ 9 catheterization, injection 0.2% bupivacaine 5 ml to determine Luo Gua plane anesthesia after endotracheal intubation, followed by an hour hard ventrolateral catheter bolus ropivacaine 0.2%, Luo Gua 5 ~ 7ml, until the surgery Bi. The same time, propofol 200mg remifentanil with propofol 0.2mg Mixture 40 ~ 60μ g / (kg * min) -1 infusion. The control group continued inhalation of isoflurane intermittent intravenous fentanyl. After the two groups in the burglary, (d0), postoperative day 1 (d1), day 3 (d2), 5 days (d3), and 7 days (d4) to do liver function were determined. Burglary (t0), block the hepatic portal (t1), to restore hepatic blood flow (t2), restoration of liver blood flow after 1 hour (t3), surgery completed (t4) for monitoring blood flow dynamics. Results 1. Operation time of completion of the joint group of bare-faced, self-breathing recovery time, extubation time were significantly lower than the control group, the level of consciousness much better than the control group (P