七氟烷和异丙酚麻醉对肺癌切除术患者围术期肺功能影响的比较分析与研究  

Analysis and Research on Sevoflurane and Propofol Anesthesia on Lung Cancer Resection in Patients with Perioperative Pulmonary Function

作　　者：龙家棋 何文明[1] 

机构地区：[1]广东省廉江市人民医院麻醉科,广东廉江524400

出　　处：《中国药物评价》2012年第3期213-214,共2页Chinese Journal of Drug Evaluation

摘　　要：目的:确定七氟烷和异丙酚麻醉对肺癌切除术患者围术期肺功能影响的区别。方法:所有患者在进行静脉诱导麻醉后,七氟烷麻醉组患者给予七氟烷进行维持麻醉;异丙酚麻醉组患者给予异丙酚进行维持麻醉。结果:七氟烷麻醉组和异丙酚麻醉组患者在维持麻醉的单肺通气期间肺内分流均增高,但七氟烷麻醉组患者肺内分流增加更为明显,证明异丙酚对患者体内低氧性肺血管收缩的抑制作用弱于七氟烷。结论:在相同麻醉深度下,七氟烷对肺癌切除术患者围术期肺功能的影响较异丙酚更为严重。Objective： To determine the sevoflurane and propofol anesthesia on perioperative pulmonary thnction, the difference between lung cancer resection. Methods： All patients during intravenous induction of anesthesia, sevoflurane anesthesia in patients given sevoflurane anesthesia was maintained ; propufol anesthesia in patients given propofol to ,naintain anesthesia. Results： Sevoflu- rane anesthesia and propofol anesthesia in patients with intrapulmonary shunt during one-lung ventilation to maintain anesthesia were significantly higher,but the sevnflurane anesthesia group of patients with pulmonary shunt increase more obvious,to prove the effects of propofol on the patient＇s body inhibition of hypoxic puhnonary vasoconstriction was weaker than sevof/urane. Conclusion： lu the same depth of anesthesia,sevoflurane right lung resection in patients with perioperalive Pulmonary function than propofol is more serious.

关 键 词：七氟烷 异丙酚 麻醉 肺癌切除术 

分 类 号：R614[医药卫生—麻醉学]