本文關(guān)鍵詞： 電子揮發(fā)罐 全身麻醉 七氟烷 消耗量 液態(tài)體積　出處：《第三軍醫(yī)大學(xué)學(xué)報(bào)》2017年22期 　論文類型：期刊論文

【摘要】：目的評(píng)價(jià)新型國(guó)產(chǎn)BR850電子揮發(fā)罐測(cè)量法監(jiān)測(cè)七氟烷消耗量液態(tài)體積的效果。方法選擇本院2016年1月至2017年6月靜吸復(fù)合全身麻醉下行婦科腔鏡手術(shù)患者79名,于Boaray700麻醉機(jī)上加載國(guó)產(chǎn)BR850電子揮發(fā)罐。采用測(cè)量法測(cè)算術(shù)中吸入七氟烷的液態(tài)體積,并與傳統(tǒng)公式法、稱重法進(jìn)行比較,采用線性回歸分析兩兩之間七氟烷消耗量的相關(guān)性。結(jié)果公式法、稱重法、測(cè)量法測(cè)得七氟烷消耗量分別為(33.18±14.06)、(33.87±14.41)、(33.89±14.33)m L,三者兩兩比較差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。3種方法兩兩比較七氟烷消耗量的決定系數(shù)R2:稱重法與公式法為0.977(P0.01),稱重法與測(cè)量法為0.992(P0.01),公式法與測(cè)量法為0.970(P0.01),三者之間均存在正相關(guān)。結(jié)論新型國(guó)產(chǎn)BR850電子揮發(fā)罐監(jiān)測(cè)術(shù)中七氟烷消耗量液態(tài)體積與稱重法、公式法效果相當(dāng),可滿足我國(guó)精準(zhǔn)化醫(yī)療的需求。
[Abstract]:Objective to evaluate the effect of measuring the volume of sevoflurane consumption by a new type of domestic BR850 electronic volatile tank. Methods from January 2016 to June 2017, gynecology was performed under combined general anesthesia and intravenous inhalation in our hospital. 79 patients underwent endoscopic surgery. The liquid volume of sevoflurane inhaled during operation was measured and compared with traditional formula method and weighing method by loading domestic BR850 electronic volatile tank on Boaray700 anesthetic machine. The correlation of sevoflurane consumption between two couples was analyzed by linear regression analysis. The results showed that the consumption of sevoflurane was 33.18 鹵14.06 by formula method, weighing method and measuring method respectively. 3.87 鹵14.41 鹵33.89 鹵14.33 mL. There was no significant difference among the three methods. The coefficient of determination of sevoflurane consumption was R _ 2: the weight method and the formula method were 0.977 (P _ (0.01)). The weight method and measurement method were 0.992mP0.01g, and the formula method and measurement method were 0.970g / P0.01g). Conclusion the liquid volume of sevoflurane consumption in the monitoring of domestic BR850 electronic volatile tank is equal to that of weighing method, which can meet the needs of precision medical treatment in China.
【作者單位】： 第三軍醫(yī)大學(xué)西南醫(yī)院手術(shù)麻醉科;
【基金】：重慶市重點(diǎn)科技計(jì)劃項(xiàng)目(CSTC2014yykf B10005)~~
【分類號(hào)】：R614
【正文快照】： 術(shù)麻醉科)由于七氟烷具有血?dú)夥峙湎禂?shù)低,呼吸道刺激性小,對(duì)血流動(dòng)力學(xué)影響小等諸多優(yōu)點(diǎn),為目前全世界麻醉醫(yī)生最廣泛采用的吸入麻醉劑[1]。傳統(tǒng)揮發(fā)罐僅設(shè)有聯(lián)通管標(biāo)定麻醉藥物剩余量大致位置,醫(yī)務(wù)人員不便獲知初始加入的液態(tài)七氟烷體積、剩余液態(tài)七氟烷的實(shí)時(shí)體積、液態(tài)七氟

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