FloTrac/Vigileo系统在妇科腹腔镜手术围手术期血流动力学监测中的应用  

The application of FloTrac/Vigileo system in gynecological laparoscopic surgery perioperative hemodynamic monitoring

作　　者：张会娟[1] 张勇[1] 熊虹飞[1] 刘鸿涛[1] 田妍静[1] 雷茜[1] 何丽丽[1] 

机构地区：[1]西安交通大学第二附属医院麻醉科,西安710004

出　　处：《陕西医学杂志》2015年第3期309-311,共3页Shaanxi Medical Journal

摘　　要：目的：采用FloTrac/Vigileo系统研究妇科腹腔镜手术围术期心输出量（CO）的变化。观察不同气腹压对患者血流动力学的影响。方法：将120例患者随机分为三个组,每组纳入患者40例。A组患者术中控制气腹压10mmHg,B组患者气腹压控制12mmHg,C组患者气腹压控制15mmHg。分别记录各组患者入室后静卧3min后麻醉诱导前（T0）、患者予麻醉气管插管后5min（T1）、气腹后5min（T2）、气腹后15min（T3）、气腹后30min（T4）、气腹结束后1min（T5）、气腹结束后5min（T6）及手术结束拔管后5min（T7）各个时间点的CO、HR和MAP,观察并记录相关的术中术后并发症。结果：三组患者气腹后HR、MAP均较气腹前明显升高,而CO气腹前后无明显差异。结论：对于1h内的妇产科腹腔镜手术,采用10-15mmHg均对患者心输出量无明显影响。Objective：Using FloTrac/Vigileo system to detect the changing of gynecologic laparoscopic surgery perioperative cardiac output（CO）.Methods：120patients were randomly divided into three groups.40 cases of each group.The pneumoperitoneum pressure of group A was 10mmHg;The pneumoperitoneum pressure of group B was 12mmHg;The pneumoperitoneum pressure of group C was 15 mmHg.The patients were recorded before induction of anesthesia after resting 3min（T0）,and 5min after trachea intubation（T1）,5min after pneumoperitoneum（T2）,15 min after pneumoperitoneum（T3）,30 min after pneumoperitoneum（T4）,1minutes after the end of pneumoperitoneum（T5）,and 5 min after pneumoperitoneum（T6）and 5min after extubation（T7）The CO,HR and MAP,of each time point was observed and recorded.Results：The HR and MAP of the three groups after pneumoperitoneum was increased significantly and there was no significant difference before and after pneumoperitoneum in CO.Conclusion：For short than 60 minutes gynecologic laparoscopic surgery,using 10 - 15 mmHg the cardiac output is no apparent effect.

关 键 词：@FloTrac/Vigileo 腹腔镜检查 围手术期 血流动力学 妇科外科手术 麻醉和镇痛 

分 类 号：R614[医药卫生—麻醉学]