Zwijsen J H, Bovill J G, Geelkerken R H, Delahunt T A, van Bockel J H, Hermans J
Department of Anaesthesiology, University Hospital Leiden, The Netherlands.
Anaesthesia. 1996 Nov;51(11):1060-3. doi: 10.1111/j.1365-2044.1996.tb15006.x.
Duplex sonography was used to determine the changes in mesenteric arterial blood flow occurring in patients undergoing aortic surgery, anaesthetised either by total intravenous anaesthesia with propofol and sufentanil (group A) or inhalational anaesthesia with isoflurane and nitrous oxide (group B). Sixteen patients were studied. Measurements were performed immediately before and 15 min after induction of anaesthesia, before surgery. There was a 38% decrease (p = 0.015) in the superior mesenteric artery end diastolic velocity in group A and a 23% decrease (p = 0.033) in the superior mesenteric artery peak systolic velocity in group B. There were no changes in any of the other sonography parameters in either group. We conclude that neither total intravenous anaesthesia with propofol and sufentanil nor inhalational anaesthesia with isoflurane and nitrous oxide have any clinically significant influence on mesenteric blood flow in the absence of surgical stimulation.
采用双功超声检查法，确定接受主动脉手术患者在麻醉状态下肠系膜动脉血流的变化。这些患者分别采用丙泊酚和舒芬太尼全静脉麻醉（A组）或异氟烷和氧化亚氮吸入麻醉（B组）。共研究了16例患者。在麻醉诱导前和手术前，于诱导麻醉后15分钟立即进行测量。A组肠系膜上动脉舒张末期速度下降38%（p = 0.015），B组肠系膜上动脉收缩期峰值速度下降23%（p = 0.033）。两组的其他超声检查参数均无变化。我们得出结论，在无手术刺激的情况下，丙泊酚和舒芬太尼全静脉麻醉以及异氟烷和氧化亚氮吸入麻醉对肠系膜血流均无任何具有临床意义的影响。
