CAJ | 학술논문

目的：对速效救心丸在预防老年患者围术期心血管并发症的应用上加以探讨。方法将本院28例行非心脏手术的老年患者随机分成实验组和对照组各14例，实验组麻醉前1h及麻醉后3 d舌下含服速效救心丸，对照组服用等量安慰剂，对患者术后3d内心电、血压、血糖等予以监测，分别统计两组患者术后心血管并发症发生人数并加以分析。结果实验组心律失常3例，术后3 d内出现心血管并发症1例，并发症发生率为7.14%。对照组心律失常7例，术后3 d内出现心血管并发症4例，并发症发生率为28.6%。实验组心血管并发症发生率明显低于对照组，经统计学比较有显著性差异（P<0.05）。结论老年患者非心脏手术前服用速效救心丸可明显降低围术期心血管并发症发生率，值得在临床上加以推广。
목적：대속효구심환재예방노년환자위술기심혈관병발증적응용상가이탐토。방법장본원28례행비심장수술적노년환자수궤분성실험조화대조조각14례，실험조마취전1h급마취후3 d설하함복속효구심환，대조조복용등량안위제，대환자술후3d내심전、혈압、혈당등여이감측，분별통계량조환자술후심혈관병발증발생인수병가이분석。결과실험조심률실상3례，술후3 d내출현심혈관병발증1례，병발증발생솔위7.14%。대조조심률실상7례，술후3 d내출현심혈관병발증4례，병발증발생솔위28.6%。실험조심혈관병발증발생솔명현저우대조조，경통계학비교유현저성차이（P<0.05）。결론노년환자비심장수술전복용속효구심환가명현강저위술기심혈관병발증발생솔，치득재림상상가이추엄。
Objective To SuXiao JiuXin Wan in prevention of elderly patients with perioperative cardiovascular complications ap-plications were discussed . Methods 28 underwent noncardiac surgery in our hospital in the elderly patients were randomly divid-ed into experimental group and the control group (n=14), the experimental group take SuXiao JiuXin Wan 1 Hour before anesthesi-a, take amount of placebo control group, the patients with postoperative 72 hours inner electricity, such as blood pressure, blood sugar monitoring, statistics of two groups of patients with postoperative cardiovascular complications and analysed . Results The experimental group 3 cases of arrhythmia, 1 case with postoperative cardiovascular complications occurrence in 72 hours, the inci-dence of complications was 7.14% . 7 cases of arrhythmia in the control group, postoperative cardiovascular complications occur-rence in 72 hours 4 cases, the incidence of complications was 28.6%. Experimental cardiovascular complication rates significantly lower than the control group, the statistical comparison have significant difference (P<0.05) . Conclusion Elderly patients before taking SuXiao JiuXin Wan nonheart surgery can obviously reduce the incidence of perioperative cardiovascular complications, and is worth popularizing in clinic.