首页|异丙酚对心内直视手术体外循环患者呼吸指数和胸肺顺应性的影响

异丙酚对心内直视手术体外循环患者呼吸指数和胸肺顺应性的影响

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目的::了解异丙酚对心内直视手术体外循环患者呼吸指数和胸肺顺应性的影响。方法:对我院2012年3月至2014年3月收治的心内直视手术体外循环患者进行抽样,选取68例患者随机分成两组,实验组于麻醉诱导后予以异丙酚,对照组予以生理盐水,于体外循环前(T1)、主动脉开放后10min(T2)、体外循环完毕后10min(T3)及1h(T4),对动态肺顺应性、胸肺顺应性进行系统检测,并观察呼吸指数变化情况。结果:两组手术时间、CPB时间及升主动脉阻断时间均无明显变化(P>0.05);于体外循环前,两组患者呼吸指数、动态肺顺应性、胸肺顺应性均无显著性差异(P>0.05);于主动脉开放后10min及体外循环完毕后10min、60min,实验组呼吸指数低于对照组(P<0.05),动态肺顺应性、胸肺顺应性高于对照组(P<0.05)。结论:异丙酚对心内直视手术体外循环患者呼吸指数和胸肺顺应性的影响。
Objective To investigate the influence of propofol on heart bypass surgery in patients with respiratory index and chest compliance. Methods within our hospital from March 2012 to March 2014 were treated bypass heart surgery patient sample, selected 68 patients were randomly divided into two groups, the experimental group received propofol after induction of anesthesia, the control group received physiological saline, in extracorporeal circulation before (T1), after aortic 10min (T2), after completion of CPB 10min (T3) and 1h (T4), dynamic lung compliance, compliance system detects chest and observe breathing index changes. Results There were operative time, CPB time and aortic clamping time did not change significantly (P>0.05);before cardiopulmonary bypass, patients were breathing index, dynamic lung compliance, compliance chest was no significant difference (P>0.05);after aortic bypass is completed after 10min and 10min, 60min, respiratory index in the experimental group than the control group (P<0.05), dynamic lung compliance, compliance chest higher (P<0.05). Conclusion Propofol look into the patient's respiratory index and the impact of compliance on the chest cardiopulmonary bypass heart surgery.

PropofolOpen Heart SurgeryCardiopulmonary BypassBreathing IndexChest Compliance

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湖南省益阳市中心医院 413000

异丙酚 心内直视手术 体外循环 呼吸指数 胸肺顺应性

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(5)
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