文章摘要
Guanglei Wang,Junli Cao, Gongjian Liu.[J].南京医科大学学报,2008,28(1):47~51
?Differential effects of controlled hypotension on gastric intramucosal pH and post-operational gastrointestinal functional under two different anesthesia methods
投稿时间:2007-09-05  
DOI:10.7655
中文关键词: 
英文关键词: anesthesia  epidural  general anesthesia  controlled hypotension  gastric mucosa
基金项目:
作者单位
Guanglei Wang Department of Anesthesiology, the Affiliated Hospital of Xuzhou Medical College, Xuzhou, 221002, Jiangsu Province, China 
Junli Cao  
Gongjian Liu  
摘要点击次数: 1646
全文下载次数: 1460
中文摘要:
      
英文摘要:
      Objective: To observe the effects of controlled hypotension on gastric intramucosal pH and post-operational gastrointestinal functions using two specific anesthesia methods. Methods: Thirty patients(ASAⅡ)scheduled for ectomy of hepatocarcinoma, were randomly assigned to two groups: epidural block combined with intravenous anesthesia group(E group) and inhalation anesthesia group(G group). Gastric PgCO2 and pHi were monitored at different time points, before theintravenous induction of controlled hypotension, after 1 h and 2 h, and 1 h after the termination of controlled hypotension. In the meanwhile, the artery blood gas was analyzed. Results: There was no significant difference in blood gas indexes between E group and G group. However, pHi decreased significantly after 1 h and 2 h of controlled hypotension(P <0.05), and during the same periods PgCO2 increased significantly(P <0.05 or P <0.01), the time of bowel movement and defecating deferred significantly shorter in G group patients, when compared with E group patients. Conclusion:Epidural block in combination with general anesthesia can improve gastrointestinal blood flow during controlled hypotension and facilitates post-operational recovery of gastrointestinal functions.
查看全文   查看/发表评论  下载PDF阅读器