中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
9期
8-10,32
,共4页
崔德壮%王桂祥%刘汉花%房亮
崔德壯%王桂祥%劉漢花%房亮
최덕장%왕계상%류한화%방량
老年人%二异丙酚%七氟烷%雷米芬太尼
老年人%二異丙酚%七氟烷%雷米芬太尼
노년인%이이병분%칠불완%뢰미분태니
Aged%Propofol%Sevoflurane%Remifentaniliva
目的 比较吸入七氟烷复合雷米芬太尼与普鲁泊福复合雷米芬太尼在老年患者胃癌根治手术中的应用效果.方法 择期行胃癌根治手术的老年患者60例,ASA分级Ⅱ～Ⅲ级,按随机数字表法分为七氟烷复合麻醉组(S组)和普鲁泊福复合麻醉组(P组),每组各30例.记录围麻醉期各时间点的血流动力学、脑电双频指数(BIS)、苏醒时间、拔管时间、清醒时间等.结果两组患者插管后、切皮中、腹腔内操作30min、缝皮中、停药时的舒张压(DBP)、平均动脉压(MAP)、心率、BISDOh 10.3760/cma.j.issn.1673-4904.2010.09.004作者单位:255200 山东省淄博市第一医院手术麻醉科通信作者:崔德壮,Email:cuitianshu123@163.com较麻醉前均明显下降(P<0.05或<0.01);S组切皮中收缩压(SBP)较P组明显升高(P<0.05).两组患者术中均能维持足够的麻醉深度(BIS45～60).S组苏醒时间、拔管时间和清醒时间[(4.1±2.2)、(5.4±2.1)、(7.3±2.1)min]较P组[(7.5±3.2)、(8.6±4.2)、(11.2±4.1)min]明显缩短(P<0.05或<0.01).结论 七氟烷复合雷米芬太尼麻醉或普鲁泊福复合雷米芬太尼麻醉均可安全应用于老年患者胃癌根治手术.与普鲁泊福复合雷米芬太尼麻醉比较,七氟烷复合雷米芬太尼麻醉时血流动力学更稳定,麻醉恢复较快,更适合于老年患者.
目的 比較吸入七氟烷複閤雷米芬太尼與普魯泊福複閤雷米芬太尼在老年患者胃癌根治手術中的應用效果.方法 擇期行胃癌根治手術的老年患者60例,ASA分級Ⅱ～Ⅲ級,按隨機數字錶法分為七氟烷複閤痳醉組(S組)和普魯泊福複閤痳醉組(P組),每組各30例.記錄圍痳醉期各時間點的血流動力學、腦電雙頻指數(BIS)、囌醒時間、拔管時間、清醒時間等.結果兩組患者插管後、切皮中、腹腔內操作30min、縫皮中、停藥時的舒張壓(DBP)、平均動脈壓(MAP)、心率、BISDOh 10.3760/cma.j.issn.1673-4904.2010.09.004作者單位:255200 山東省淄博市第一醫院手術痳醉科通信作者:崔德壯,Email:cuitianshu123@163.com較痳醉前均明顯下降(P<0.05或<0.01);S組切皮中收縮壓(SBP)較P組明顯升高(P<0.05).兩組患者術中均能維持足夠的痳醉深度(BIS45～60).S組囌醒時間、拔管時間和清醒時間[(4.1±2.2)、(5.4±2.1)、(7.3±2.1)min]較P組[(7.5±3.2)、(8.6±4.2)、(11.2±4.1)min]明顯縮短(P<0.05或<0.01).結論 七氟烷複閤雷米芬太尼痳醉或普魯泊福複閤雷米芬太尼痳醉均可安全應用于老年患者胃癌根治手術.與普魯泊福複閤雷米芬太尼痳醉比較,七氟烷複閤雷米芬太尼痳醉時血流動力學更穩定,痳醉恢複較快,更適閤于老年患者.
목적 비교흡입칠불완복합뢰미분태니여보로박복복합뢰미분태니재노년환자위암근치수술중적응용효과.방법 택기행위암근치수술적노년환자60례,ASA분급Ⅱ～Ⅲ급,안수궤수자표법분위칠불완복합마취조(S조)화보로박복복합마취조(P조),매조각30례.기록위마취기각시간점적혈류동역학、뇌전쌍빈지수(BIS)、소성시간、발관시간、청성시간등.결과량조환자삽관후、절피중、복강내조작30min、봉피중、정약시적서장압(DBP)、평균동맥압(MAP)、심솔、BISDOh 10.3760/cma.j.issn.1673-4904.2010.09.004작자단위:255200 산동성치박시제일의원수술마취과통신작자:최덕장,Email:cuitianshu123@163.com교마취전균명현하강(P<0.05혹<0.01);S조절피중수축압(SBP)교P조명현승고(P<0.05).량조환자술중균능유지족구적마취심도(BIS45～60).S조소성시간、발관시간화청성시간[(4.1±2.2)、(5.4±2.1)、(7.3±2.1)min]교P조[(7.5±3.2)、(8.6±4.2)、(11.2±4.1)min]명현축단(P<0.05혹<0.01).결론 칠불완복합뢰미분태니마취혹보로박복복합뢰미분태니마취균가안전응용우노년환자위암근치수술.여보로박복복합뢰미분태니마취비교,칠불완복합뢰미분태니마취시혈류동역학경은정,마취회복교쾌,경괄합우노년환자.
Objective To compare the efficacy of sevoflurane-remifentanil and propofol-remifentanil anesthesia in elderly patients undergoing radical gastrectomy for cancer.Methods Sixty ASA Ⅱ - Ⅲ patients aged 65-80 years old with gastric cancer were divided into sevoflurane group(group S) and propofol group (group P), 30 cases in each group.Perioperative hemodynamic variables, bispectral index( BIS ) values and the time of recovery from anesthesia, extubation and awake were recorded as well.Results Compared with those before anesthesia,diastolic blood pressure(DBP),mean arterial pressure(MAP), heart rate(HR) and BItS were signifieanfly decreased (P < 0.05 or < 0.01 ).SBP was higher at cutting skin in group S than that in group P (P < 0.05 ).The depths of anesthesia in both groups were maintained well with BIS in 45-60 and vital signs were stable during operation.The time of recovery from anesthesia, extubafion and awake were shorter in group S [(4.1±2.2),(5.4±2.1),(7.3±2.1)min]thanthoseingroupP [(7.5±3.2),(8.6± 4.2), ( 11.2 ± 4.1 ) min]( P < 0.05 or < 0.01 ).Conclusions Either sevoflurane-remifentanil and propofol-remifentanil anesthesia can be used safely in elderly patients undergoing radical gastrectomy for cancer.Sevotlurane-remifentanil combined with anesthesia provides better hemodynamic stability and faster recovery than propofol-remifentanil combined with anesthesia in elderly patients.
