CAJ | 학술논문

目的探讨麻醉前应用药苯巴比妥钠对老年患者全身麻醉效果的影响.方法 50例限期膀胱癌病灶切除患者随机分成两组(n=25):Ⅰ组不用苯巴比妥钠,Ⅱ组应用苯巴比妥钠.麻醉前用镇静/警觉评分标准(OAA/S)观察和评估患者的意识和神志状态并抽血化验血清皮质醇浓度.术毕记录两组恢复期躁动发生率,睁眼时间、拔管时间和定向力恢复时间.结果两组患者的意识和神志状态及血清皮质醇浓度比较差异无统计学意义(P＞0.05).Ⅱ组患者术毕恢复期躁动发生率高,睁眼时间、拔管时间和定向力恢复时间长(P＜0.05).结论麻醉前应用苯巴比妥钠可使全身麻醉老年患者的苏醒质量下降.
목적 탐토마취전응용약분파비타납대노년환자전신마취효과적영향.방법 50례한기방광암병조절제환자수궤분성량조(n=25):Ⅰ조불용분파비타납,Ⅱ조응용분파비타납.마취전용진정/경각평분표준(OAA/S)관찰화평고환자적의식화신지상태병추혈화험혈청피질순농도.술필기록량조회복기조동발생솔,정안시간、발관시간화정향력회복시간.결과 량조환자적의식화신지상태급혈청피질순농도비교차이무통계학의의(P＞0.05).Ⅱ조환자술필회복기조동발생솔고,정안시간、발관시간화정향력회복시간장(P＜0.05).결론 마취전응용분파비타납가사전신마취노년환자적소성질량하강.
Objective To investigate the effect of phenobarbital sodium before anesthesia on general anesthesia effect of aged patients.Methods Fifty patients with bladder cancer resection within the lesions were randomly divided into two groups (n =25):phenobarbital sodium was not given in group Ⅰ,phenobarbital sodium was applied in group Ⅱ.The patients'consciousness and mind state with calm/alert score standard(OAA/S) before anaesthesia were observed and appraised,and the serum cortisol concentration was tested.Moving restlessly rate in recovery period,eye open time,drawing tube time and directional power recovery time of both groups were recorded after operation.Results There was no significant difference in state or consciousness or serum cortisol concentration between the two groups (P ＞ 0.05).In group Ⅱ,the recovery period moving restlessly rate after operation was higher,the open time,drawing tube time and directional power recovery time were longer than those in group Ⅰ (P ＜ 0.05).Conclusions Using phenobarbital sodium before anaesthesia should decrease the quality of resuscitation for aged patients who received general anesthesia.