摘要
Objective:To investigate the effect of sevoflurane pretreatment on cerebral oxygen saturation, pulmonary compliance and systemic stress response in patients with one-lung ventilation. Methods:A total of 70 patients with lung cancer who accepted the selective pulmonary lobectomy in our hospital between January 2012 and December 2015 were collected and divided into observation group and control group (n=35) according to the single-blind randomized control method. After general anesthesia induction, the control group received air/oxygen mixed ventilation, and the observation group received sevoflurane pretreatment for 30 min and received one-lung ventilation after that. Immediately after anesthesia induction (T0), 30 min after sevoflurane pretreatment (T1), 60 min after sevoflurane pretreatment (T2) and at chest wall suture after operation (T3), the cerebral oxygen saturation monitor was used to determine the left and right regional cerebral oxygen saturation (rSO2);end-expiratory airway blocking method and related indexes were used to calculate the contralateral pulmonary static compliance (Cst) and pulmonary dynamic compliance (Cdyn);the RIA method was used to determine serum stress hormone levels.Results:At T0, differences in cerebral oxygen saturation, pulmonary compliance and systemic stress response were not statistically significant between two groups of patients;at T1, T2 and T3, left and right rSO2 levels of observation group were higher than those of control group, Cst and Cdyn levels were significantly higher than those of control group, and serum epinephrine (E), norepinephrine (NE), cortisol (Cor) and angiotensinⅡ (AngⅡ) levels were lower than those of control group.Conclusion:Sevoflurane pretreatment can promote the intraoperative cerebral oxygen saturation and pulmonary compliance, and reduce systemic stress response in patients with one-lung ventilation.
