国际麻醉学与复苏杂志   2011, Issue (6): 11-11
    
吸烟对七氟烷消除时间的影响
杨亚雯, 嵇富海1()
1.苏州大学附属第一医院
Effect of cigarette smoking on the washout time of sevoflurane anesthesia
 全文:
摘要:

目的:探讨在肺功能正常患者中吸烟对七氟烷消除时间的影响。方法:取90例拟行全麻下LC手术且ASA分级1-2级的男性患者,年龄介于20~63岁,分为两组,其中45例为吸烟患者组,45例为非吸烟患者组,其肺功能均正常,行全凭七氟烷吸入麻醉,监测患者呼出七氟烷浓度,并使其维持在1MAC,麻醉时间维持1小时,后关闭挥发罐,监测患者呼出七氟烷浓度自1MAC降至0.3MAC以及0.1MAC所用的时间。结果:呼出七氟烷浓度从1MAC降至0.3MAC吸烟组是99±42s,非吸烟组是117±38s,p=0.23;从1MAC降至0.1MAC吸烟组是411±140s,非吸烟者是501±176s,p=0.0437,吸烟组患者七氟烷消除时间短于非吸烟组患者。结论:在肺功能正常的患者中,吸烟患者其七氟醚麻醉消除时间较不吸烟患者缩短。

关键词: 七氟烷;吸入麻醉;吸烟
Abstract:

Objective:To evaluate the effect of cigarette smoking on washout time after one minimum alveolar concentration of sevoflurane anesthesia for one hour. Methods:We investigated the washout time of sevoflurane in 45 non-smoking and 45 cigarette smoking (≥10 cigarettes/day for>5 years) ASA I-II physical status patients, aged 20-63 years, who were candidates for LC surgery under 1MAC standardized sevoflurane anesthesia for one hour. After one hour the sevoflurane vaporizer was turned off and the time taken for the sevoflurane concentration to decrease to 0.3MAC and 0.1 MAC levels were recorded. The patients were mechanically ventilated during the washout time. Results: We found the difference between the two study groups with regard to washout time of sevoflurane. The times of 1MAC down to 0.3MAC (117±38 sec in non-smokers vs 99±42 sec in smokers, p>0.05) were similar, but the times of 1MAC down to 0.1MAC (501±176 sec in non-smokers vs 411±140 sec in smokers, p<0.05) were different. Conclusion:Washout time of 1MAC sevoflurane anesthesia for one hour is effected by cigarette smoking in patients without significant pulmonary disease.

Key words: sevoflurane anesthesia;smoking