瑞芬太尼与芬太尼麻醉在老年患者中的应用及价值对比研究.docVIP

精品论文 参考文献 瑞芬太尼与芬太尼麻醉在老年患者中的应用及价值对比研究 （四川省西充县人民医院麻醉科 四川 西充 637200） 　　【摘要】 目的：研究瑞芬太尼与芬太尼麻醉在老年患者中的应用及价值对比。方法：研究资料来源于我院2014年9月—2016年1月期间收治老年患者65例，根据随机数字表法，分为2组，R组和F组。F组给予芬太尼麻醉；R组给予瑞芬太尼麻醉。就两组患者平均动脉压、心率、疼痛评分以及拔除导管时间、术后苏醒时间和恢复自主呼吸时间进行比较。结果：两组患者平均动脉压、心率无显著差异，P＞0.05。R组患者拔除导管时间、术后苏醒时间和恢复自主呼吸时间均短于F组，疼痛评分高于F组，P＜0.05。结论：瑞芬太尼在老年患者中的应用及价值高于芬太尼，加速麻醉苏醒和恢复自主呼吸时间，值得推广。 　　【关键词】 瑞芬太尼;芬太尼;麻醉;老年患者;应用价值 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2016）34-0045-02Comparison of remifentanil and fentanyl anesthesia in elderly patients He Liang. 　　Department of Anesthesiology, Sichuan province peoples Hospital of Xichong County, 637200,China 　　【Abstract】Objective To study the application of remifentanil and fentanyl anesthesia and compare the value in elderly patients. Methods The research data from our hospital from September 2014 to January 2016 were treated 65 cases of elderly patients, according to randomly divided into 2 groups, R group and F group,.F group were given fentanyl anesthesia; group R received remifentanil anesthesia. Patients in the two groups on the average arterial pressure, heart rate, pain score and catheter removal time, compare the recovery time and recovery time of spontaneous breathing after operation. Results The mean arterial pressure of two groups of patients, no significant difference in heart rate, P, 0.05.R group of patients with catheter removal time, recovery time and recovery time of spontaneous breathing after operation shorter in the F group, pain score higher than F group, P lt; 0.05.Conclusion The application and value of remifentanil in elderly patients is higher than that of fentanyl, accelerate the recovery from anesthesia and recovery of spontaneous breathing time, worthy of promotion. 　　【Key words】Remifentanil;Fentanyl; Anesthesia; Elderly patients; Application value 　　老年手术治疗患者需选取合适的麻醉方式，因其身体机能低下，对麻醉的反应较弱，且耐受力也较低，因此麻醉方案的选择需考虑有效性和安全性[1]。本研究探讨了瑞芬太尼与芬太尼麻醉在老年患者中的应用及价值对比，报道如下： 　　1.资料与方法 　　1.1 一般资料 　　研究资料来源于我院2014年9月