七氟醚吸入麻醉与丙泊酚复合七氟醚麻醉对血糖的影响  

Effect of sevoflurane inhalation anesthesia and propofol sevoflurane combined anesthesia on glucose concentrations

作　　者：王丹丹[1] 杨程[1] 崔苏扬[1] 

机构地区：[1]南京中医药大学附属医院麻醉科,210029

出　　处：《临床麻醉学杂志》2009年第12期1049-1050,共2页Journal of Clinical Anesthesiology

摘　　要：目的探讨七氟醚吸入麻醉对血糖水平的影响。方法30例全麻患者随机分成七氟醚吸入麻醉组(A组)和丙泊酚复合七氟醚麻醉组(B组),每组15例。观察术前以及手术2h时的血糖浓度。结果A、B两组手术2h的血糖均比术前明显升高[(6.23±1.45)mmol/Lvs.(4.86±0.85)mmol/L和(6.66±1.48)mmol/Lvs.(5.11±0.43)mmol/L](P<0.05);但组间差异无统计学意义。结论七氟醚吸入麻醉与丙泊酚复合七氟醚麻醉均不能抑制应激性血糖升高。Objective To observe the effect of sevoflurane inhalation anesthesia and propofol sevoflurane combined anesthesia on glucose concentrations. Methods Thirty patients undergoing general anesthesia were randomly divided into two groups with 15 cases each. The patients in group A were anesthetized with sevoflurane inhalation and those in group B with sevoflurane combined with propofol. Blood concentration of glucose was measured before operation and at 2 h during surgery. Results The blood glucose concentrations in groups of A and B were significantly increased at 2 h during surgery than those before [（ 6.23± 1.45） mmol/L vs. （4.86 ± 0.85） mmol/L and （ 6.66 ± 1.48） mmol/L vs. （5.11±0.43） mmol/L] （P〈0.05）. But There was no significant difference in blood glucose between the two groups. Conclusion Both sevoflurane inhalation anesthesia and combined propofol and sevoflurane anesthesia can not inhibit the increase of blood glucose during operation.

关 键 词：七氟醚 丙泊酚 静-吸复合麻醉 血糖 

分 类 号：R614[医药卫生—麻醉学]