CAJ | 학술논문

　　目的探讨麻醉性镇痛药在老年患者应用中的安全性。方法对2009年1月至2012年12月期间在我院接受手术治疗的556例老年患者的病历资料进行回顾分析，重在分析其术后麻醉性镇痛药的给药剂量、方式及相关并发症情况。结果不同给药方式患者并发症的发生率比较无统计学意义（P＞0.05），不同年龄段患者并发症的发生率无统计学意义（P＞0.05）。结论在合理制定麻醉性镇痛给药剂量并加强术后监测的情况下，老年患者在术后实施硬膜外腔小剂量吗啡镇痛有相当临床应用价值。
　　목적탐토마취성진통약재노년환자응용중적안전성。방법대2009년1월지2012년12월기간재아원접수수술치료적556례노년환자적병력자료진행회고분석，중재분석기술후마취성진통약적급약제량、방식급상관병발증정황。결과불동급약방식환자병발증적발생솔비교무통계학의의（P＞0.05），불동년령단환자병발증적발생솔무통계학의의（P＞0.05）。결론재합리제정마취성진통급약제량병가강술후감측적정황하，노년환자재술후실시경막외강소제량마배진통유상당림상응용개치。
Objective To investigate narcotic analgesics in elderly patients safety application. Methods 2009 years from January 2012 to December in our hospital during surgical treatment of 556 cases of elderly patients medical records of the review analysis, focuses on analyzing the postoperative narcotic analgesic drugs dose, mode and related complications situation. Results Different medicine way with the incidence of complications is no statistical significance (P>0.05), the incidence of complications in patients with different age paragraph no statistical significance (P>0.05). Conclusion The establishment of reasonable narcotic analgesic drug dose and strengthen the monitoring, in elderly patients with postoperative implementation epidural space small dose of morphine analgesia has quite a clinical application value.