七氟烷应用于体外循环对血糖的影响

胡强; 贾春伶; 高国栋; 王仕刚; 姜福清; 兰宝玲; 龙村

七氟烷应用于体外循环对血糖的影响

1.
中国医学科学院北京协和医学院阜外心血管病医院,北京,100037;
2.
首都医科大学附属复兴医院,北京,100038

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中图分类号: R654.1
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- 发布日期: 2013-02-27

Influence of sevoflurane used in extracorporeal circulation on the concentration of blood glucose

摘要

摘要: 目的观察体外循环中持续性应用七氟烷对血糖的影响.方法将体外循环(CPB)下行心脏双瓣或冠状动脉搭桥手术患者100例随机均分为2组:七氟烷组(观察组)所有患者CPB开始时即持续吹入七氟烷,至停机时不再给予静脉麻醉药；静脉麻醉组(对照组)转流期间静脉追加芬太尼、维库溴胺、咪达唑仑,CPB期间不予吸入麻醉.分别于CPB开始时(T1)、阻升主(T2)、复温(T3)、停机(T4)及手术后第24小时(T5)抽取血样检测血糖.结果 2组间比较各时间点血糖浓度均无显著性差异(P＞0.05)；2组内T3、T4这2个时间点比较,血糖浓度无显著差异(P＞0.05),其余各时间点比较,血糖浓度差异均有统计学意义(P＜0.05).结论 CPB中使用七氟烷与静脉麻醉对血糖的影响无显著性差异.
- 七氟烷 /
- 体外循环 /
- 血糖

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参考文献(12)

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七氟烷应用于体外循环对血糖的影响

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Influence of sevoflurane used in extracorporeal circulation on the concentration of blood glucose

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