CAJ | 학술논문

目的：探讨不同靶浓度瑞芬太尼在老年患者胸科手术麻醉中的效果与安全性。方法将进行手术的96例老年患者随机分为 A、B、C 3组，每组32例。 A 组患者接受4μg／L 瑞芬太尼麻醉，B 组患者接受6μg／L 瑞芬太尼麻醉，C 组接受8μg／L 瑞芬太尼麻醉。比较3组患者术中应激反应发生情况及综合指标。结果3组患者术中情况（P ＞0．05）；B 组患者综合指标明显优于 A、C 组患者（P ＜0．05），A、C 组患者综合指标比较，P ＞0．05；C 组患者苏醒时间明显长于 A、B 组。结论6μg／L 瑞芬太尼应用于老年患者胸科手术中安全性高、能有效降低患者术中应激反应。
목적：탐토불동파농도서분태니재노년환자흉과수술마취중적효과여안전성。방법장진행수술적96례노년환자수궤분위 A、B、C 3조，매조32례。 A 조환자접수4μg／L 서분태니마취，B 조환자접수6μg／L 서분태니마취，C 조접수8μg／L 서분태니마취。비교3조환자술중응격반응발생정황급종합지표。결과3조환자술중정황（P ＞0．05）；B 조환자종합지표명현우우 A、C 조환자（P ＜0．05），A、C 조환자종합지표비교，P ＞0．05；C 조환자소성시간명현장우 A、B 조。결론6μg／L 서분태니응용우노년환자흉과수술중안전성고、능유효강저환자술중응격반응。
Objective To investigate the efficacy and the safety of different concentration of remifentanil in anesthesia of elderly patient treated with thoracic surgery .Methods 96 elderly patients treated with thoracic surgery were divided into A ,B,C groups,each group with 32 cases.Group A were anaesthetized by 4 μg/L remifentanil,group B were anaesthetized by 6 μg/L remifentanil and group C were anaesthetized by 8 μg/L remifentanil.Emergency response and integrated indicators during the sur -gery of the 3 groups were compared.Results Intraoperative situation of the 3 groups had no significant difference (P >0.05),the integrated indicators of group B was significantly better than those of group A and B (P <0.05),and the integrated indicators of group A and group B had no significant difference (P >0.05).The awaking time of group C was obviously longer than those of group A and group B.Conclusion 6 μg/L remifentanil in anesthesia of elderly patient treated with thoracic surgery has high safety and can effectively reduce patient ’s intraoperative emergency response .