异丙酚联合瑞芬太尼在老年患者全身麻醉手术中的应用  

Remifentanil and propofol general anesthesia in elderly patients with surgery

作　　者：吴锋[1] 

机构地区：[1]四川省内江市第二人民医院麻醉科,641100

出　　处：《医学信息（下旬刊）》2011年第3期23-24,共2页Medical information

摘　　要：目的：观察异丙酚联合瑞芬太尼全身静脉麻醉手术用于老年患者的临床效果.方法：选择60-96岁手术患者100例,随机分为异丙酚联合瑞芬太尼组（A组）和静吸复合麻醉组（B组）,每组50例,监测入室后（T0）、麻醉诱导后（T1）、气管插管后（T2）、切皮时（T3）、手术探查时（T4）及术毕拔管后（T5）的血压、心率以及术毕停药后患者自主呼吸恢复、拔管时间.结果：A组诱导后、气管插管后、切皮时、手术探查时及术毕拔管后血压心率变化均小于B组,两组有显著性差异（P〈0.05）,A组术后自主呼吸恢复、拔管时间明显短于B组,两组有显著性差异（P〈0.05）.结论：异丙酚联合瑞芬太尼用于高龄患者麻醉诱导术比静吸复合麻醉术更加平稳,苏醒时间短、苏醒质量好.Objective： To observe the propofol remifentanil intravenous anesthesia for elderly patients the clinical effect. Methods： I00 patients 60-96 years old surgery were randomly divided into propofol remifentanil group （A group） and inhalation anesthesia group （B group） 50 cases, mo- nitoring after burglary （To）, after induction of anesthesia （T1）, after intubation （T2）, skin incision （T3）, surgical exploration time （T4） and after extubation （Ts） blood pressure, heart rate and independent patients after discontinuation of surgery respiratory recovery, extubation time. Results： A group after induction, after intubation, skin incision, surgicaI exploration after extubation when the blood pressure and heart rate were less than B, there was significant difference between the two groups （P 〈0.05）, A group were recovery of spontaneous breathing, tracheal extubation was signif- icantly shorter than B, there was significant difference between the two groups （P 〈0.05）. Conclusion： Remifentanil and propofol induction of anesthesia, surgery for elderly patients with combined inhalation anesthesia than the more stable, recovery time is short, recovery and good quality.

关 键 词：瑞芬太尼 异丙酚 全身麻醉 联合应用 

分 类 号：R614[医药卫生—麻醉学]