贵州医科大学学报

1997, (04)

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乳癌根治术患者围术期血液流变学及血糖监测
Observation of the Hemorheology and Blood Sugar During Patients with Breast Carcinoma Radical Operation

王迪芬,刘兴敏,付原,王文玲,石建云,曾庆繁,马燕
Wang Difen,et alDepartment of ICU,Guiyang Medical College

摘要(Abstract):

20例乳癌根治术女性患者,随机分为两组,A组采用硬膜外麻醉,B组采用静-吸复合全麻。分别在麻醉前,术中、术毕监测血液流变学指标和血糖变化。结果发现两组术中、术毕血液流变学指标均较麻醉前降低;两组术中、术毕血糖较麻醉前明显升高,尤以A组更甚。
Twenty female patients of breast carcinoma radical operation were dicided into two groups in randomEpidural bloking was used forg roup A,combination of intravenousinhalation general anesthesia was used for group BThe index of hemorheology and blood sugar were monitored before anesthesia,in operation and after operation,respectivelyThe blood sugar at operation and in the end of operation was higher than before anesthesia in group A,there were marked differences at operation between the groupsThe hematocrit,blood plasma specific viscosity and whole blood specific viscosity evidently decreased in operation and in the end of operation than before anesthesia in the two group patientsThrough this clinic study indicated that the influence of two anesthesia methods on hematocrit and whole blood specific viscosity was similar in patients with breast carcinoma radical operation at oppration time,but the influence of the conbination introvenousinhalation general anesthesia was more evident and more advancetageous on the improvement of blood plasma specific viscosity

关键词(KeyWords): 乳癌根治术,硬膜外麻醉,静-吸复合全麻,血液流变学,血糖
radical operation of mastocarcinoma;peridural anesthesia;combination of intravenousinhalation general anesthesia;blood rheology;blood glucose

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作者(Author): 王迪芬,刘兴敏,付原,王文玲,石建云,曾庆繁,马燕
Wang Difen,et alDepartment of ICU,Guiyang Medical College

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DOI: 10.19367/j.cnki.1000-2707.1997.04.016

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