CAJ | 학술논문

目的：探讨静吸复合全麻与靶控输注对老年高血压患者麻醉深度的影响。方法将随机选取的35例行人工髋关节置换术采用靶控输注静脉麻醉患者作为观察组,将另外35例采用芬太尼静吸复合全麻患者作为对照组,对两组患者的麻醉效果进行分析与比较。结果在手术后1、3、6 h对照组35例患者的心率分别为(82.33±11.01)次/min、(82.84±11.6.53)次/min、(85.36±11.32)次/min,与实施麻醉前(147.23±19.34)mmHg相比显著降低(P<0.05)；观察组离室时间与定向力恢复时间显著短于对照组(P<0.05)。结论对老年高血压行髋关节置换术患者应用丙泊酚复合瑞芬太尼靶控输注静脉麻醉,可以取得更好的临床效果,能够实现对患者心率及血压的有效控制,值得推广。
목적：탐토정흡복합전마여파공수주대노년고혈압환자마취심도적영향。방법장수궤선취적35례행인공관관절치환술채용파공수주정맥마취환자작위관찰조,장령외35례채용분태니정흡복합전마환자작위대조조,대량조환자적마취효과진행분석여비교。결과재수술후1、3、6 h대조조35례환자적심솔분별위(82.33±11.01)차/min、(82.84±11.6.53)차/min、(85.36±11.32)차/min,여실시마취전(147.23±19.34)mmHg상비현저강저(P<0.05)；관찰조리실시간여정향력회복시간현저단우대조조(P<0.05)。결론대노년고혈압행관관절치환술환자응용병박분복합서분태니파공수주정맥마취,가이취득경호적림상효과,능구실현대환자심솔급혈압적유효공제,치득추엄。
Objective to evaluate the static absorption of the compound anesthesia with target control infusion on the depth of anesthesia in elderly patients with hypertension.Methods 35 hip arthroplasty target controlled infusion intravenous anesthesia patients as observation, 35 cases with fentanyl static absorption compound anesthesia control group, the anesthesia effect compared.Results after surgery, 1 h, 3 h, 6 h control group 35 cases of patients with heart rate respectively (82.33±11.01) times/min, (82.84±11.6.53) times/min, (85.36±11.32) times/min, and implement before anesthesia (147.23±19.34)mmHg compared reduced (P<0.05). Conclusion for elderly patients with hypertension line hip replacement application of propofol compound fentanyl target controlled infusion intravenous anesthesia, can control to the patient’s heart rate and blood pressure, is worth promoting.