CAJ | 학술논문

目的:探讨健忘镇痛慢诱导在老年病人手术麻醉过程中的应用.方法:选取50例我院择期行上腹部手术老年患者,随机分为健忘镇痛慢诱导组(观察组)和常规快诱导组(对照组),比较两组患者各时点的MAP、HR的变化、不良反应及术毕对气管导管的耐受性.结果:观察组MAP与HP各时刻比较无明显差异,无统计学意义.与基础值(T0)相比,对照组(T1-2)MAP下降,(T3-5)MAP上升,差异均有统计学意义(P<0.05);与基础值(T0)相比,对照组(T2)HR下降,(T3-5)HR上升,差异均有统计学意义(P<0.05).两组对耐受气管导管情况具有统计学意义(P<0.01);观察组患者在低血压、心动过速发生率上明显低于对照组,两组差异具有统计学意义(P<0.05).结论:健忘镇痛慢诱导气管插管用于老年患者手术麻醉具有较高的安全性,值得临床上推广使用.
목적:탐토건망진통만유도재노년병인수술마취과정중적응용.방법:선취50례아원택기행상복부수술노년환자,수궤분위건망진통만유도조(관찰조)화상규쾌유도조(대조조),비교량조환자각시점적MAP、HR적변화、불량반응급술필대기관도관적내수성.결과:관찰조MAP여HP각시각비교무명현차이,무통계학의의.여기출치(T0)상비,대조조(T1-2)MAP하강,(T3-5)MAP상승,차이균유통계학의의(P<0.05);여기출치(T0)상비,대조조(T2)HR하강,(T3-5)HR상승,차이균유통계학의의(P<0.05).량조대내수기관도관정황구유통계학의의(P<0.01);관찰조환자재저혈압、심동과속발생솔상명현저우대조조,량조차이구유통계학의의(P<0.05).결론:건망진통만유도기관삽관용우노년환자수술마취구유교고적안전성,치득림상상추엄사용.
Objective:To explore the clinical application of forgetfulness analgesia slow induction technology in the elderly patients with tracheal intubation. Methods:50 surgery patients of general anesthesia were randomly divided into two groups:forgetful analgesia slow induction group(observation group)and fast induction group (control group).The MAP and HR changes,intraoperative Picasso endotracheal tube tolerance, the occurrence of adverse reaction were compared.Results:At T0 MAP and HR in the two groups was no significant difference(P>0.05);when compared with T0,MAP and HR at al time in observation group was no significant difference(P>0.05);and compared with T0,MAP at T1-2 was lower,MAP at T3-5 in control group was higher(P<0.05);when compared with T0,HR at T2 was lower, HR at T3-5 in control group was higher(P<0.05);tolerance of tracheal intubations endotrcheal tube in observation group better than those in control group (P<0.05);compared with observation group;incidence of hypertension and tachycardia was higher(P<0.05).Conclusion:Forgetfulness analgesia slow induction tracheal intubation can be used in the elderly patients with general anesthesia safetyman it is helpful for prevention of perioperative cardiovascular compliacations.