国际麻醉学与复苏杂志   2014, Issue (3): 7-7
    
不同温度脑室灌洗液对犬血流动力学的影响
楼健, 陈漪雯, 江来1()
1.上海交通大学附属新华医院
Effects of different temperature of intraventricular irrigating fluid on hemodynamic in beagle dogs
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摘要:

目的 观察不同温度脑室灌洗液对犬血流动力学的影响。 方法 比格犬采用随机数字表法随机分为三组,按脑室灌洗液的温度不同分为体温组(T组37℃)、室温组(S组24~26℃)和低温组(D组16~18℃),每组5只。三组均给予丙泊酚、瑞芬太尼和维库溴铵全凭静脉麻醉。 分别于成功置入漂浮导管10min后(T0)、更换脑室灌洗液10min后(T10)、20min后(T20)、30min后(T30)、40min后(T40)、50min后(T50)测量各时点血流动力学指标的变化情况。 结果 T组中,HR和MAP在T20~T50时点显著降低(P<0.05),MPAP、CVP、PAWP、CO在T40、T50时点显著降低(P<0.05); S组中,HR在T30~T50时点显著降低(P<0.05),MAP在T40~T50时点显著降低(P<0.05),CVP在T40时点显著降低(P<0.05),CO在T50时点显著降低(P<0.05); D组中,HR和MAP在T50时点显著降低(P<0.05),MAP在T30时点显著升高(P<0.05)。与T组T30时点比较 ,D组T30时点HR和MAP显著升高(P<0.05)。实验后各组犬均未发现神经功能缺失。结论 室温脑室灌洗液与37℃灌洗液引起的血流动力学变化相似,可以成为37℃灌洗液的替代品。而低温灌洗液会引起心率和平均动脉压的一过性升高。

关键词: 脑室;灌洗液; 温度; 血流动力学
Abstract:

【Abstract】 Objective The purpose of this experiment is to study the effects of different temperature of intraventricular irrigating fluid on hemodynamic in beagle dogs. Methods : Fifteen healthy beagles were randomly divided into control group (group T), room temperature group (group S) and low temperature group (group D). Standard anaesthetic monitoring included hemodynamic parameters , SpO2 , EtCO2 and rectal temperature after dogs were anesthetized with remifentanil and propofol. We recorded hemodynamic changes at 0min,10min, 20min, 30min, 40min, 50min after changing the fluid as T0,T10, T20, T30, T40, T50.Results There was no significant statistical difference in weight, height , rectal temperature and age. Compared with T0 in group T, HR and MAP decreased significantly at T20~T50 (P<0.05), MPAP, CVP, PAWP as well as CO decreased significantly at T40~T50 (P<0.05). Compared with T0 in group S, HR decreased significantly at T30~T50 (P<0.05), and MAP decreased significantly at T40~T50 (P<0.05). Compared with T0 in group D, HR and MAP decreased significantly at T50 (P<0.05), but increased significantly at T30 (P<0.05). HR and MAP at T30 were significantly different between group T and group D (P<0.05). After the experiment there were no neurologic impairment found. Conclusions The experimental results show that irrigation fluid at room temperature does not cause hemodynamic change. The low temperature (16-18℃) irrigation fluid would cause tachycardia and hypertension. Therefore, it is not recommended for use during ETV.

Key words: Brain ventricle; Irrigating fluid; Temperature; Hemodynamic