中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
21期
61-62
,共2页
七氟烷%麻醉%喉罩%老年患者%血流动力学
七氟烷%痳醉%喉罩%老年患者%血流動力學
칠불완%마취%후조%노년환자%혈류동역학
Sevoflurane%Anesthesia%Laryngeal mask%Elderly patients%Hemodynamic
目的：研究老年患者七氟烷麻醉诱导喉罩置入的临床效果。方法于2014年2月-2015年1月期间随机选取该院无张力疝修补老年患者70例作为研究对象，按给药方式不同分为观察组（7%的七氟烷，每30 s下调药浓度1%，直至浓度为4%）和对照组（2 ug/kg芬太尼静脉注射，之后行1.5~2.5 mg/kg丙泊酚静脉注射），观察喉罩一次置入成功率、诱导时长、脑电双频指数变化、平均动脉压及心率变化、不良反应发生率。结果观察组喉罩一次置入成功率（82.86%）与对照组（80.00%）差异无统计学意义（P>0.05）；观察组诱导时间为（141.01±25.34）s，长于对照组的（95.54±16.58）s，P<0.05；诱导后，观察组平均动脉压及心率均高于对照组，P<0.05；观察组不良反应发生率（22.86%）较对照组（71.43%）低，P<0.05。结论七氟烷为喉罩置入创造良好条件，更利于维持老年患者血流动力学指标，安全可靠，值得应用于临床。
目的：研究老年患者七氟烷痳醉誘導喉罩置入的臨床效果。方法于2014年2月-2015年1月期間隨機選取該院無張力疝脩補老年患者70例作為研究對象，按給藥方式不同分為觀察組（7%的七氟烷，每30 s下調藥濃度1%，直至濃度為4%）和對照組（2 ug/kg芬太尼靜脈註射，之後行1.5~2.5 mg/kg丙泊酚靜脈註射），觀察喉罩一次置入成功率、誘導時長、腦電雙頻指數變化、平均動脈壓及心率變化、不良反應髮生率。結果觀察組喉罩一次置入成功率（82.86%）與對照組（80.00%）差異無統計學意義（P>0.05）；觀察組誘導時間為（141.01±25.34）s，長于對照組的（95.54±16.58）s，P<0.05；誘導後，觀察組平均動脈壓及心率均高于對照組，P<0.05；觀察組不良反應髮生率（22.86%）較對照組（71.43%）低，P<0.05。結論七氟烷為喉罩置入創造良好條件，更利于維持老年患者血流動力學指標，安全可靠，值得應用于臨床。
목적：연구노년환자칠불완마취유도후조치입적림상효과。방법우2014년2월-2015년1월기간수궤선취해원무장력산수보노년환자70례작위연구대상，안급약방식불동분위관찰조（7%적칠불완，매30 s하조약농도1%，직지농도위4%）화대조조（2 ug/kg분태니정맥주사，지후행1.5~2.5 mg/kg병박분정맥주사），관찰후조일차치입성공솔、유도시장、뇌전쌍빈지수변화、평균동맥압급심솔변화、불량반응발생솔。결과관찰조후조일차치입성공솔（82.86%）여대조조（80.00%）차이무통계학의의（P>0.05）；관찰조유도시간위（141.01±25.34）s，장우대조조적（95.54±16.58）s，P<0.05；유도후，관찰조평균동맥압급심솔균고우대조조，P<0.05；관찰조불량반응발생솔（22.86%）교대조조（71.43%）저，P<0.05。결론칠불완위후조치입창조량호조건，경리우유지노년환자혈류동역학지표，안전가고，치득응용우림상。
Objective To study the clinical effect of laryngeal mask airway anesthesia induced with sevoflurane for elderly patients. Methods 70 elderly patients who underwent tension-free hernioplasty in our hospital during February 2014 and January 2015 were selected as the research object and were divided into observation group and control group according to mode of administra-tion. Patients in the observation group were given sevoflurane with declining concentration from 7%to 4%by 1%every 30s, while those in the control group were treated with intravenous injection of 2ug/kg fentanyl and 1.5~2.5mg/kg propofol in turn. The suc-cess rate of one-time catheterization, induction time, changes of bispectral index, mean arterial pressure, heart rate, and incidence of adverse reactions were observed. Results The success rate of one-time catheterization of the observation group and the control groups were(82.86%)and (80.00%), and the difference was not statistically significant, P>0.05. The induction time was longer in the observation group than in the control group (141.01±25.34)s vs (95.54±16.58), P<0.05. After induction, the mean arterial pressure and heart rate are higher in the observation group than those in the control group, P<0.05. The incidence of adverse re-actions was lower in the observation group than in the control group, 22.86% vs 71.43%, P<0.05. Conclusion Anesthesia induc-tion with sevoflurance can create favorable conditions for laryngeal mask airway and is safe and reliable in maintaining the hemo-dynamics indexes of elderly patients, therefore it is worthy of clinical application.
