CAJ | 학술논문

目的：对瑞芬太尼与芬太尼静脉麻醉在老年患者手术中的应用效果进行对比分析。方法选取于2012年11月～2014年9月在我院进行手术治疗的48例老年患者，根据麻醉方法的不同将患者随机分为两组，对瑞芬太尼与芬太尼静脉麻醉的麻醉效果进行对照研究。结果观察组患者的拔管时间、恢复自主呼吸时间以及出麻醉室时间均短于对照组，不良反应发生率低于对照组，差异有统计学意义（P<0.05）。结论与芬太尼静脉麻醉相比，瑞芬太尼在老年患者手术中的麻醉效果尤为显著，能够大大降低患者的拔管时间、恢复自主呼吸时间以及出麻醉室时间，并且安全有效。
목적：대서분태니여분태니정맥마취재노년환자수술중적응용효과진행대비분석。방법선취우2012년11월～2014년9월재아원진행수술치료적48례노년환자，근거마취방법적불동장환자수궤분위량조，대서분태니여분태니정맥마취적마취효과진행대조연구。결과관찰조환자적발관시간、회복자주호흡시간이급출마취실시간균단우대조조，불량반응발생솔저우대조조，차이유통계학의의（P<0.05）。결론여분태니정맥마취상비，서분태니재노년환자수술중적마취효과우위현저，능구대대강저환자적발관시간、회복자주호흡시간이급출마취실시간，병차안전유효。
Objective Effect of remifentanil and fentanyl intravenous anesthesia application in surgery treatment of elderly patients is to be comparatively analyzed. Methods We chose 48 elderly patients who were treated in hospital from November 2012 to September 2014 and separated them into two groups according to differential anesthesia methods;and then observed anesthesia efficacy of remifentanil and fentanyl between two groups. Results Patients’ extubation time,recovery time of spontaneous breathing and anesthetic time in study group were rather shorter than those in control group; besides, side-effect incidence in study group were fewer than that in control group; there was a treatment differential between the two groups,and such a differential had statistic value(P<0.05). Conclusion Compared to fentanyl,remifentanil intravenous anesthesia is of efficacy in treatment of elderly patients; it is conducive to reducing patients’extubation time,recovery time of spontaneous breathing and anesthetic time with medication safety, therefore,such a treatment approach is quite worthwhile to be promoted and applied clinical y.