健忘镇痛慢诱导技术用于老年患者气管插管的临床效果观察  

Clinical Observation of Forgetfulness Analgesia Slow Induction Technology in the Elderly Patients with Tracheal Intubation

作　　者：骆宏[1] 张云云[1] 胡友洋[1] 杨恒[1] 汪萍[1] 张地宝[1] 

机构地区：[1]合肥市第一人民医院南区合肥市滨湖医院,中国合肥230061

出　　处：《国际老年医学杂志》2012年第1期1-3,共3页International Journal of Geriatrics

摘　　要：目的：探讨健忘镇痛慢诱导气管插管在老年患者全麻的临床应用。方法：ASAⅡ-Ⅲ级择期全麻手术患者40例，随机分为健忘镇痛慢诱导组（A组）和快诱导组（B组）。记录诱导各时点的平均动脉压（MAP）、心率（HR）的变化，观察术毕患者清醒时对气管导管的耐受情况。结果：A组各时点的MAP及HR维持在较平稳的水平；B组诱导后MAP、HR明显下降（P〈0．05），插管即刻和插管后3min上升明显（P〈0．05），拔管即刻和拔管后3rainMAP及HR亦明显高于基础值（P〈0．05）。术毕清醒后，A组均能很好耐受气管导管，对气管插管全麻的满意度明显高于B组。结论：健忘镇痛慢诱导气管插管可以安全用于老年患者全麻，有利于预防围术期心脑血管并发症。OBJECTIVE ： To explore the clinical application of forgetful analgesia slow induction tracheal intubation in the elderly patients with general anesthesia. METHODS ： 40 surgery patients （ age 65 - 85 years ） of ASA Ⅱ-Ⅲ level of general anesthesia were randomly divided into two groups： forgetful analgesia slow induction group （group A） and fast induction group （group B）. Fhe mean arterial pressure （MAP） and heart rate （HR） changes were recorded. Intraoperative Picasso endotracheal tube tolerance in the patients awake were also observed. RESULTS ： MAP and HR of group A at every period after induction maintained the smooth level. In group B MAP and HR after induction were decreased obviously （ P 〈 0. 05 ） , MAP and HR immediately after intubation and at 3 minites after intubation were increased clearly, and MAP and HR instantly after detubation and at 3 minites after being extubated were significantly higher than basic value （P 〈 0. 05 ）. In group A during intraoperative Picasso all the patients had good tolerance of tra- cheal intubation endotracheal tube, and the satisfaction of general anesthesia was obviously higher than that in group B. CONCLUSION： Forgetfulness analgesia slow induction tracheal intubation can be used in the elderly patients with general anesthesia safely. And it is helpful for prevention of perioperative cardiovascular complications.

关 键 词：健忘镇痛 慢诱导 老年 气管插管 

分 类 号：R614.21[医药卫生—麻醉学]