七氟醚与异丙酚麻醉对妇科腹腔镜手术患者肺功能影响.docVIP

七氟醚与异丙酚麻醉对妇科腹腔镜手术患者肺功能影响 　　[摘要] 目的 探讨七氟醚与异丙酚麻醉对妇科腹腔镜手术患者肺功能的影响。 方法 选择在本院妇科行腹腔镜手术的60例患者的临床资料进行回顾性分析，其中30例采用异丙酚-瑞芬太尼复合麻醉，为PR组；30例采用七氟醚-瑞芬太尼复合麻醉，为SR组。比较两组的PaO2、PaCO2、PETCO2、Ppeak、QS/QT和肺动态顺应性。 结果 两组的PaCO2在气腹后5 min、气腹后15 min、放气后15 min较麻醉诱导前显著升高，差异有统计学意义（P0.05）；两组的Ppeak在气腹后5 min、气腹后15 min较气腹前5 min显著升高，差异有统计学意义（P0.05）；两组的肺动态顺应性在气腹后5 min、气腹后15 min较气腹前5 min显著下降，差异有统计学意义（P　　[关键词] 妇科腹腔镜手术；七氟醚；异丙酚 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721（2014）09（a）-0120-04 　　Influence of anesthesia by sevoflurane and propofol on the Pulmonary function in patients receiving gynecological laparoscopic surgery 　　CHEN Guang-jun 　　The Third Affiliated Hospital of Nanyang Medical College，Nanyang 473000，China 　　[Abstract] Objective To explore the influence of anesthesia by sevoflurane and propofol on the pulmonary function in patients receiving gynecological laparoscopic surgery. Methods A retrospective analysis was conducted on the clinical data of 60 patients receiving gynecological laparoscopic surgery in our hospital.The 30 patients in the PR group were given anesthesia by propofol and remifentanil，while the 30 patients in the SR group were given anesthesia by sevoflurane and remifentanil.PaO2，PaCO2，PETCO2，Ppeak，QS/QT and dynamic lung compliance in two groups were compared respectively. Results PaCO2 was significantly higer at 5 min after pneumoperitoneum，15 min after pneumoperitoneum and 15 min after deflation than that before anesthesia induction，with statistical difference（P0.05）.Ppeak was higher at 5 min after pneumoperitoneum and 15 min after pneumoperitoneum than that at 5 min before pneumoperitoneum，with statistical difference（P0.05）.Dynamic lung compliance was lower at 5 min after pneumoperitoneum and 15 min after pneumoperitoneum than that at 5 min before pneumoperitoneum，with statistical difference（P 　　[Key words] Gynecological laparoscopic surgery；Sev-oflurane；Propofol 　　随着腹腔镜手术技术的发展以及仪器的改进，腹腔镜手术在临床上的应用越来越广泛，其在妇科手术中的应用也逐渐得到推广。腹腔镜手术具有创伤小、恢复快等优点，但是在操作过程中需要制造气腹条件，而CO2气腹对机体的循环以及呼吸系统具有一定