老年患者手术麻醉中芬太尼与瑞芬太尼静脉麻醉的应用价值对照.docVIP

老年患者手术麻醉中芬太尼与瑞芬太尼静脉麻醉的应用价值对照 　　[摘要] 目的 研究并探讨老年患者手术麻醉中芬太尼与瑞芬太尼静脉麻醉的应用价值。 方法 随机选取2014年1月―2015年1月在该院接受手术治疗的100例老年患者作为研究对象。采取数字抽签法将其分为对照组（n=50）和观察组（n=50），给予对照组芬太尼麻醉，给予观察组瑞芬太尼麻醉。对比麻醉前、后的平均动脉压、心率以及两组患者的苏醒时间、拔管时间。 结果 两组患者麻醉后的平均动脉压和心率均出现增高，但观察组麻醉前、后的增高幅度不显著（P0.05）。观察组患者的苏醒时间、拔管时间分别为（10.51±3.27） min、（13.17±4.12） min，明显短于对照组的（17.75±6.46） min、（24.83±5.49） min（P0.05）。 结论 在老年患者手术中，采用瑞芬太尼麻醉的镇静效果较芬太尼更佳，术中血流动力学稳定，术后苏醒更快。 　　[关键词] 老年患者；麻醉；芬太尼；瑞芬太尼 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0004-03 　　Comparison of the Value of Intravenous Anesthesia with Fentanyl and Remifentanil in Elderly Patients 　　SONG Jun-gang 　　Department of Anesthesiology， Central Hospital of Zibo， Zibo， Shandong Province， 255036 China 　　[Abstract] Objective To study the value of intravenous anesthesia with fentanyl and remifentanil in elderly patients. Methods 100 elderly patients who received surgical treatment in our hospital from January 2014 to January 2015 were selected as the subjects. The patients were divided into the control group（n=50） and the observation group （n=50） by the digital draw. Patients in the control group were treated with fentanyl anesthesia， and those in the observation group were given remifentanil anesthesia. The mean arterial pressure， heart rate， emergence time and extubation time of the two groups were compared before and after anesthesia. Results The mean arterial blood pressure and heart rate increased in both groups after anesthesia， but the increase amplitude of mean arterial blood pressure and heart rate in the observation group was not significant （P0.05）. The emergence time was much shorter in the observation group than that in the control group[（10.51 ± 3.27） min vs （17.75±6.46） min] （P0.05）. The extubation time was much shorter in the observation group than that in the control group [（13.17±4.12） min vs （24.83±5.49） min]（P0.05）. Conclusion For the anesthesia in elderly patients with surgery， remifentanil has better sedation effect， more stable hemodyn