Midazolam combined with fentanyl for upper abdominal surgery in elderly patients.docVIP

 PAGE \* MERGEFORMAT 6 Midazolam combined with fentanyl for upper abdominal surgery in elderly patients [Abstract] Objective To observe midazolam combined with fentanyl for upper abdominal surgery in elderly patients the clinical effect of epidural analgesia. Methods 60 cases of epidural anesthesia in upper abdominal surgery were randomly divided into A, B group and C group of the three groups, comparing three groups analgesic, sedative effect and side effects. Results Comparison of the sedative effect (RAMSAY ratings) : C group was significantly better than the B group (P lt;0. 01) and better than A group (P lt;0. 05), Comparison of analgesic effect (VAS score): Although the three groups were in good analgesic effect, but the C group of excellent in the A group, B group (P lt;0.05), A Group B Group was no significant difference between (Pgt; 0. 05), C group, incidence of side effects was significantly lower than B group. Conclusion midazolam composite Finland fentanyl for elderly patients with epidural analgesia after abdominal surgery is a safe and effective method to reduce side effects when pure fentanyl. [Keywords:] midazolam, fentanyl epidural analgesia Functional reserve of vital organs in elderly patients significantly reduced, for example, for upper abdominal surgery such as poor tolerance of the larger operation, and postoperative pain in elderly patients can also increase the physiological function of the disorder, so it is particularly important postoperative pain . postoperative epidural analgesia has been widely used in clinical analgesic effect of fentanyl and its exact drugs are often selected as the pump, but the nausea and vomiting, respiratory depression, prolonged discharge and other adverse reactions, this study aims to In the small dose of midazolam combined with fentanyl for epidural analgesia. 1. Materials and Methods 1.1 Clinical data selection age 60 to 75 years undergoing elective abdominal surgery on 60 p