健忘镇痛慢诱导在老年病人手术麻醉过程中的应用  

CliIlical Observation of Forgetfulness Analgesia Slow Induction Technology in The Elderly Patients with Tracheal Intubation

作　　者：曾居华[1] 马恒涛[1] 廖盈盈[1] 陈步钢[1] 李尉[1] 王皓[1] 杨永飞[1] 

机构地区：[1]解放军59医院麻醉科,开远661600

出　　处：《中国医药导刊》2012年第12期2091-2092,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨健忘镇痛慢诱导在老年病人手术麻醉过程中的应用。方法:选取50例我院择期行上腹部手术老年患者,随机分为健忘镇痛慢诱导组(观察组)和常规快诱导组(对照组),比较两组患者各时点的MAP、HR的变化、不良反应及术毕对气管导管的耐受性。结果:观察组MAP与HP各时刻比较无明显差异,无统计学意义。与基础值(T0)相比,对照组(T1-2)MAP下降,(T3-5)MAP上升,差异均有统计学意义(P<0.05);与基础值(T0)相比,对照组(T2)HR下降,(T3-5)HR上升,差异均有统计学意义(P<0.05)。两组对耐受气管导管情况具有统计学意义(P<0.01);观察组患者在低血压、心动过速发生率上明显低于对照组,两组差异具有统计学意义(P<0.05)。结论:健忘镇痛慢诱导气管插管用于老年患者手术麻醉具有较高的安全性,值得临床上推广使用。Objective：To explore the clinical application of forgetfulness analgesia slow induction technology in the elderly patients with tracheal intubation.Methods：50 surgery patients of general anesthesia were randomly divided into two groups：forgetful analgesia slow induction group（observation group）and fast induction group（control group）.The MAP and HR changes,intraoperative Picasso endotracheal tube tolerance,the occurrence of adverse reaction were compared.Results：At T0 MAP and HR in the two groups was no significant difference（P0.05）;when compared with T0,MAP and HR at all time in observation group was no significant difference（P0.05）;and compared with T0,MAP at T1-2 was lower,MAP at T3-5 in control group was higher（P0.05）;when compared with T0,HR at T2 was lower,HR at T3-5 in control group was higher（P0.05）;tolerance of tracheal intubations endotrcheal tube in observation group better than those in control group（P0.05）;compared with observation group;incidence of hypertension and tachycardia was higher（P0.05）.Conclusion：Forgetfulness analgesia slow induction tracheal intubation can be used in the elderly patients with general anesthesia safetyman it is helpful for prevention of perioperative cardiovascular compliacations.

关 键 词：健忘镇痛 慢诱导 气管插管 老年患者 

分 类 号：R614[医药卫生—麻醉学]