中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
13期
77-79
,共3页
瑞芬太尼%芬太尼%老年患者%麻醉
瑞芬太尼%芬太尼%老年患者%痳醉
서분태니%분태니%노년환자%마취
Remifentanil%Fentanyl%Elderly patient%Anesthesia
目的：观察比较瑞芬太尼与芬太尼两种麻醉药应用在老年患者手术中的效果。方法：选择本院2011年6月-2013年12月住院治疗的76例老年患者，并按照随机数字法分为观察组38例和对照组38例，其中观察组患者采用瑞芬太尼静脉麻醉，对照组患者采用芬太尼静脉麻醉，对比分析两组患者的麻醉效果。结果：观察组和对照组患者分别进行麻醉诱导后，其血压和心率均低于麻醉诱导前。观察组患者在插管后和切皮时无血压及心率升高现象，拔管时出现血压和心率比诱导后和手术结束时升高；对照组患者在插管后和切皮时血压及心率均出现明显升高，拔管时的血压和心率与诱导后和手术结束时相比，无明显变化。观察组患者与对照组患者相比，其自主呼吸恢复时间、拔管时间以及出麻醉室的时间都要低于对照组时间，两组比较差异具有统计学意义（P<0.05）。结论：瑞芬太尼与芬太尼在用于老年患者手术麻醉时，瑞芬太尼的麻醉效果明显要优于较芬太尼，而且瑞芬太尼对患者身体影响较小，得到临床推广。
目的：觀察比較瑞芬太尼與芬太尼兩種痳醉藥應用在老年患者手術中的效果。方法：選擇本院2011年6月-2013年12月住院治療的76例老年患者，併按照隨機數字法分為觀察組38例和對照組38例，其中觀察組患者採用瑞芬太尼靜脈痳醉，對照組患者採用芬太尼靜脈痳醉，對比分析兩組患者的痳醉效果。結果：觀察組和對照組患者分彆進行痳醉誘導後，其血壓和心率均低于痳醉誘導前。觀察組患者在插管後和切皮時無血壓及心率升高現象，拔管時齣現血壓和心率比誘導後和手術結束時升高；對照組患者在插管後和切皮時血壓及心率均齣現明顯升高，拔管時的血壓和心率與誘導後和手術結束時相比，無明顯變化。觀察組患者與對照組患者相比，其自主呼吸恢複時間、拔管時間以及齣痳醉室的時間都要低于對照組時間，兩組比較差異具有統計學意義（P<0.05）。結論：瑞芬太尼與芬太尼在用于老年患者手術痳醉時，瑞芬太尼的痳醉效果明顯要優于較芬太尼，而且瑞芬太尼對患者身體影響較小，得到臨床推廣。
목적：관찰비교서분태니여분태니량충마취약응용재노년환자수술중적효과。방법：선택본원2011년6월-2013년12월주원치료적76례노년환자，병안조수궤수자법분위관찰조38례화대조조38례，기중관찰조환자채용서분태니정맥마취，대조조환자채용분태니정맥마취，대비분석량조환자적마취효과。결과：관찰조화대조조환자분별진행마취유도후，기혈압화심솔균저우마취유도전。관찰조환자재삽관후화절피시무혈압급심솔승고현상，발관시출현혈압화심솔비유도후화수술결속시승고；대조조환자재삽관후화절피시혈압급심솔균출현명현승고，발관시적혈압화심솔여유도후화수술결속시상비，무명현변화。관찰조환자여대조조환자상비，기자주호흡회복시간、발관시간이급출마취실적시간도요저우대조조시간，량조비교차이구유통계학의의（P<0.05）。결론：서분태니여분태니재용우노년환자수술마취시，서분태니적마취효과명현요우우교분태니，이차서분태니대환자신체영향교소，득도림상추엄。
Objective:To observe the effect of remifentanil and fentanyl two kinds of anesthesia in elderly patients in operation. Method:To select randomly 76 elderly patients in our hospital in 2012 June-2013 April during the period of hospitalization,and randomly divide them into the observation group(38 cases)and control group(38 cases), the observation group with remifentanil intravenous anesthesia,the control group were treated by fentanyl intravenous anesthesia. To comparatively analyze anesthesia effect of two groups of patients. Result:The observation group and the control group patients were performed after induction of anesthesia,the blood pressure and heart rate were lower than those before anesthesia induction. The blood pressure and heart rate of the patients in observation group did not increase after intubation and skin incision,but increased after induction. The blood pressure and heart rate of the patients in control group increased after intubation and skin incision,but it was compared with the end of extubation,the change was not significant. Patients in the observation group compared with the control group of patients,the spontaneous breathing recovery time and extubation time and anesthesia room time was lower than that in the control group,the difference was significant(P<0.05). Conclusion:Remifentanil and fentanyl for anesthesia in elderly patients during the operation,the anesthetic effect of remifentanil is evidently better than fentanyl and remifentanil,less impact on the patient’s body,get the clinical promotion.
