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上腹部手术不同麻醉方法对心率变异性的影响(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第5期
页码:
374-376
栏目:
论著
出版日期:
2000-10-25

文章信息/Info

Title:
Influence of different anesthesia on the heart rate variability during upper abd ominal surgery
作者:
张文新1;  余微萍2;  徐旭仲2;  苏尔瞻2
温州医学院附属二院: 11 心功能室, 21 麻醉科, 浙江温州325027
Author(s):
ZHANG Wen-xing;  YU Wei-pin;  XU Xu-zhong;  SU Er-zhan
Department of Cardiac Function,Second Affiliated Hospital of Wenzhou medical col lege,Wenzhou Zhejiang 325027,China
关键词:
心率变异性;  全麻;  硬膜外腔麻醉;  手术;  腹部
Keywords:
heart rate variability; general anesthesia; epidural anesthesi a; surgery; abdomen
分类号:
R541.7;R656;R614　　　
DOI:
-
文献标识码:
A
摘要:
目的 探讨上腹部手术不同麻醉方法对心率变异性(HRV)的影 响。方法 30例择期上腹部手术患者分为全麻复合硬膜外腔麻醉(CA)组和 全麻(GA)组。测定麻醉前(T0)、气管插管后5 min(T1)、腹腔探查时(T2)、术中1 h(T3)和2 h(T4)、术毕拔气管导管前(T5)和拔气管导管后15 min (T6)的HRV。结果 与T0相比，CA组标化低频值(LFnorm)在T2，T3，T4，T5和T6均显著降低(P＜0.0 1),LF/HF在T1,T2,T3和T4也均显著降低(P＜0.01)。GA组围麻醉期HRV的各项数据 均无显著变化 。组间比较，CA组LFnorm在T3显著低于GA组(P＜0.05)，LF/HF在T3和T4也显著低于GA组( P＜0.05)。结论 全麻下行上腹部手术心脏自主神经功能稳定，而全麻 复合硬膜外腔麻醉显著抑制交感神经。
Abstract:
AIM To investigate the effect on cardiac autonomic reflex on p atients who suffer upper abdominal surgery under combination of general and epid ural anesthesia (CA) or general ansethesia (GA). MEHTODS 30 adult pati ents with elective upper abdominal surgery were assigned to receiving C A or GA. Change of the heart rate varibility (HRV) were measured before anesthes ia (T0), at 5 min after trachea intubation (T1),exploring abdomen (T2),at 1nd ho ur (T3),2nd hour(T4) during operation,at the moment before extubation (T5) and 1 5 minute after extubation (T6). RESULTS As compared with those at T0,L Fnorm was significantly decreased at T2,T3,T4,T5 and T6 (P＜0.01),LF/HF reduc ed markedly at T1,T2,T3 and T4 (P＜0.05), but HFnorm,TP,HF and LF were no sig nificant change at group CA. During perioperation at group GA, studied data kept statistically unchanged (P＞0.05). As compared with those in group GA,LFnorm reduced dramatically at T3,and LF/HF also reduced markedly at T3 and T4. CONCLUSION HRV at group GA is stable, but sympathetic nerve is inhibited at group CA.

参考文献/References

［1］ Galletly DC,Corfiatis T,Westenberg AM,et al. Heart rate periodic itie s during induction of propofolnitrous oxide-isoflurane anesthesia［J］. Br J Anesth,1992,68(4):360.

［2］ Galletly DC,Westenbery AM,Robinson BJ,et al. Effect of halothane,isofl uran e and fentynal on spectral components of heart rate variability［J］. Br J An esth,1994,72(2):177.

［3］ 寿红艳，徐旭仲，余微萍，等. 颈丛阻滞对心率变异性的影响［J］. 中华麻醉学杂 志，1999，19(6)：373.

［4］ 张开滋，刘海祥，吴　杰. 心电信息学［M］. 第1版. 北京：科学技术出版社，1998 .159～180.

［5］ Akselrod S,Gordon D,Ubel F,et al. Power spectrum analysis of heart rat e fl uctuation:a quantitative probe of beat to beat cardiovascular control［J］. Sc ience,1981,213:220.

［6］ Kato M,Komatsu T,Kimura T,et al. Spectral analysis of heart rate varia bility during isoflurane anesthesia［J］. Anesthesiology,1992,77(4):669.

［7］ Lombardi F,Malliani A,Pagani M,et al. Heart rate variability and its s ympatho-vagal modulation［J］. Circ Res,1996,32:208.

［8］ 杨军良，陈伯銮，赵树元，等. 不同麻醉方法对心率变异性的影响［J］. 中华麻醉 学杂志，1995，15(1)：5.

［9］ 余微萍，徐旭仲，张文新，等. 急诊胆道手术围术期心率变异性观察［J］. 肝胆胰 外科杂志，1999,11(3):139.

备注/Memo

备注/Memo:
收稿日期：1999-10-27.
更新日期/Last Update: 2000-10-25