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比较两种雌性犬绝育手术方法的血液动力学变化。

Comparison of haemodynamic changes during two surgical methods for neutering female dogs.

机构信息

Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07 Uppsala, Sweden.

Department of Anatomy, Physiology and Biochemistry, Swedish University of Agricultural Sciences, Box 7011, 750 07 Uppsala, Sweden.

出版信息

Res Vet Sci. 2011 Aug;91(1):159-163. doi: 10.1016/j.rvsc.2010.08.013. Epub 2010 Oct 2.

Abstract

The aim was to investigate if intraoperative registrations of blood pressure and heart rate could be used to estimate surgical trauma. In a prospective clinical trial, registrations in eight dogs neutered by laparoscopic ovariectomy (LOE) were compared with eight dogs subjected to open ovariohysterectomy (OHE). For comparisons phases were used: phase zero=steady state after induction of anaesthesia; phase one=opening of abdomen; phase two=severing of ovarian pedicles; and, phase three=abdominal closure. During LOE, mean systolic blood pressure increased by 7 mmHg (p=0.05) and 15 mmHg (p=0.01) from phase zero to phase one and two, respectively, and during OHE by 3 mmHg (ns) and 29 mmHg (p<0.0001), respectively. The increase from phase one to phase two differed between groups (p=0.03). Heart rate did not change. Frequent intraoperative measurements of blood pressure appear a promising method for evaluating surgical trauma.

摘要

目的在于研究术中血压和心率的监测是否可用于评估手术创伤。在一项前瞻性临床试验中,比较了 8 只接受腹腔镜卵巢切除术(LOE)绝育的犬和 8 只接受开放性卵巢子宫切除术(OHE)的犬的记录。用于比较的阶段有:阶段零=麻醉诱导后的稳定状态;阶段一=腹部开口;阶段二=卵巢蒂切断;阶段三=腹部关闭。在 LOE 中,平均收缩压从阶段零到阶段一和二分别增加了 7mmHg(p=0.05)和 15mmHg(p=0.01),而在 OHE 中分别增加了 3mmHg(无统计学意义)和 29mmHg(p<0.0001)。两组间从阶段一到阶段二的血压升高程度不同(p=0.03)。心率没有变化。术中频繁测量血压似乎是评估手术创伤的一种有前途的方法。

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