中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
21期
20-21
,共2页
老年%麻醉%诱导%依托咪酯
老年%痳醉%誘導%依託咪酯
노년%마취%유도%의탁미지
Aged%Anesthesia%Induction%Etomidate
目的 探讨麻醉诱导药物依托咪酯在老年全麻患者中的应用效果及临床意义.方法 将我院60例全麻老年手术患者随机分为对照组(常规应用安定为诱导药物)和观察组(依托咪酯为诱导药物),观察两组患者诱导前后平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2)及诱导后插管次数及其他并发症发生率.结果 对照组诱导后平均动脉压(165/90±13/10) mm Hg,心率(98±8)次/min,血氧饱和度(93±1)％,诱导后插管次数(1.5±0.5)次；其他并发症发生率为26.66％.观察组平均动脉压(135/85±11/9) mm Hg,心率(80±8)次/min；血氧饱和度(96±1)％,诱导后插管次数(1.0±0.5)次；其他并发症发生率为6.66％.结论 采用依托咪酯在老年全麻患者诱导麻醉中对MAP、HR、Sp02影响较小,可减少插管次数及并发症发生率.
目的 探討痳醉誘導藥物依託咪酯在老年全痳患者中的應用效果及臨床意義.方法 將我院60例全痳老年手術患者隨機分為對照組(常規應用安定為誘導藥物)和觀察組(依託咪酯為誘導藥物),觀察兩組患者誘導前後平均動脈壓(MAP)、心率(HR)、脈搏血氧飽和度(SpO2)及誘導後插管次數及其他併髮癥髮生率.結果 對照組誘導後平均動脈壓(165/90±13/10) mm Hg,心率(98±8)次/min,血氧飽和度(93±1)％,誘導後插管次數(1.5±0.5)次；其他併髮癥髮生率為26.66％.觀察組平均動脈壓(135/85±11/9) mm Hg,心率(80±8)次/min；血氧飽和度(96±1)％,誘導後插管次數(1.0±0.5)次；其他併髮癥髮生率為6.66％.結論 採用依託咪酯在老年全痳患者誘導痳醉中對MAP、HR、Sp02影響較小,可減少插管次數及併髮癥髮生率.
목적 탐토마취유도약물의탁미지재노년전마환자중적응용효과급림상의의.방법 장아원60례전마노년수술환자수궤분위대조조(상규응용안정위유도약물)화관찰조(의탁미지위유도약물),관찰량조환자유도전후평균동맥압(MAP)、심솔(HR)、맥박혈양포화도(SpO2)급유도후삽관차수급기타병발증발생솔.결과 대조조유도후평균동맥압(165/90±13/10) mm Hg,심솔(98±8)차/min,혈양포화도(93±1)％,유도후삽관차수(1.5±0.5)차；기타병발증발생솔위26.66％.관찰조평균동맥압(135/85±11/9) mm Hg,심솔(80±8)차/min；혈양포화도(96±1)％,유도후삽관차수(1.0±0.5)차；기타병발증발생솔위6.66％.결론 채용의탁미지재노년전마환자유도마취중대MAP、HR、Sp02영향교소,가감소삽관차수급병발증발생솔.
Objective To investigate the application effect and clinical significance of induction agent etomidate in elderly patients with general anesthesia.Methods Sixty cases of patients undergoing general anesthesia were randomly divided into old age group (30 cases,routine application of stability for the induction of drug) ; observation group (30 cases of etomidate as induction agent) were observed before and after induction.Mean arterial pressure (MAP),heart rate (HR),oxygen saturation (SpO2 )and the number of intubation after the induction and complication rate were observed.Results In the control group,mean arterial pressure after induction was ( 165/90 ± 13/10)mm Hg; heart rate was (98 ±8) beats/min ; oxygen saturation was (93 ± 1 ) ％,the number of intubation after induction was ( 1.5 ±0.5); other complication rate was (26.66％). Observation group,mean arterial blood pressure was ( 135/85 ± 11/9 ) mm Hg; heart rate was ( 80 ± 8 ) beats/min ; oxygen saturation was ( 96 -± 1 ) ％,the number of intubation after induction was ( 1.0 ± 0.5 ) ; other complication rate was ( 6.66％ ).Conclusions Etomidate anesthesia in elderly patients has little effect on mean arterial pressure (MAP),heart rate ( HR),oxygen saturation ( SpO2 ) and can reduce the number of intubation and complication rates.
