医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
20期
147-147
,共1页
舒芬太尼%芬太尼%老年患者%腹腔镜手术%胆囊切除术%血流动力学%舒张压%收缩压%心率%不良反应
舒芬太尼%芬太尼%老年患者%腹腔鏡手術%膽囊切除術%血流動力學%舒張壓%收縮壓%心率%不良反應
서분태니%분태니%노년환자%복강경수술%담낭절제술%혈류동역학%서장압%수축압%심솔%불량반응
Sufentanil%Fentanyl%Elderly patients%Laparoscopic surgery%Cholecystectomy%Hemodynamics%The diastolic blood pressure%The systolic blood pressure%The heart rate
目的分析舒芬太尼与芬太尼对老年腹腔镜胆囊切除术患者血流动力学的影响。方法选取2010年10月~2012年10月老年腹腔镜胆囊切除术患者202例，随机分为两组患者，甲组患者100例，采用芬太尼复合静脉麻醉；乙组患者102例，采用舒芬太尼复合静脉麻醉，对比组患者的麻醉效果。结果对比两组患者的给药前舒张压、收缩压和心率，无明显差异性，无统计学意义（P>0.05）。乙组患者的诱导后、插管后、切皮后、关腹舒张压、收缩压、心率均显著优越于甲组患者，差异性明显，具有统计学意义（P<0.05）。两组患者均未发生因麻醉用药导致严重不良反应发生。结论老年腹腔镜胆囊切除术患者采用舒芬太尼复合静脉麻醉对患者血流动力学影响较小，生命体征更为平稳，显著提高患者术中安全性，对老年患者的手术麻醉治疗具有重要的临床价值和意义。
目的分析舒芬太尼與芬太尼對老年腹腔鏡膽囊切除術患者血流動力學的影響。方法選取2010年10月~2012年10月老年腹腔鏡膽囊切除術患者202例，隨機分為兩組患者，甲組患者100例，採用芬太尼複閤靜脈痳醉；乙組患者102例，採用舒芬太尼複閤靜脈痳醉，對比組患者的痳醉效果。結果對比兩組患者的給藥前舒張壓、收縮壓和心率，無明顯差異性，無統計學意義（P>0.05）。乙組患者的誘導後、插管後、切皮後、關腹舒張壓、收縮壓、心率均顯著優越于甲組患者，差異性明顯，具有統計學意義（P<0.05）。兩組患者均未髮生因痳醉用藥導緻嚴重不良反應髮生。結論老年腹腔鏡膽囊切除術患者採用舒芬太尼複閤靜脈痳醉對患者血流動力學影響較小，生命體徵更為平穩，顯著提高患者術中安全性，對老年患者的手術痳醉治療具有重要的臨床價值和意義。
목적분석서분태니여분태니대노년복강경담낭절제술환자혈류동역학적영향。방법선취2010년10월~2012년10월노년복강경담낭절제술환자202례，수궤분위량조환자，갑조환자100례，채용분태니복합정맥마취；을조환자102례，채용서분태니복합정맥마취，대비조환자적마취효과。결과대비량조환자적급약전서장압、수축압화심솔，무명현차이성，무통계학의의（P>0.05）。을조환자적유도후、삽관후、절피후、관복서장압、수축압、심솔균현저우월우갑조환자，차이성명현，구유통계학의의（P<0.05）。량조환자균미발생인마취용약도치엄중불량반응발생。결론노년복강경담낭절제술환자채용서분태니복합정맥마취대환자혈류동역학영향교소，생명체정경위평은，현저제고환자술중안전성，대노년환자적수술마취치료구유중요적림상개치화의의。
Objective: To analyze the hemodynamic ef ect of sufentanil and fentanyl in elderly patients with laparoscopic cholecystectomy. Methods: 202 cases of elderly patients with laparoscopic cholecystectomy between Oct. 2010 and Oct. 2012 were divided radomly into A group (100 cases) and B group (102 cases). A group received fentanyl intravenous anesthesia and B group recived sufentanil intravenous anesthesia. The anesthetic ef ect was compared. Results: The diastolic blood pressure, the systolic blood pressure and the heart rate were compared between the two groups, but there had no significant dif erence, so they were not statistical y significant (P<0.05). The diastolic blood pressure, the systolic blood pressure and the heart rate of the patients after indution, after intubation, after skin incision and the abdomen in the B group were statistical y significant (P<0.05). The patients in the two groups didn't occur any severe adverse reaction caused by the anesthesitic drug. Conclusion: For elderly patients with laparoscopic cholecystectomy, sufentanil intravenous anesthesia has lit le ef ect to the hemodynamics. The vital signs are more stable, and the safty of the surgery is improved. Therfore, it is of great clinical value and significance for the anesthesia of elderly patients.
