瑞芬太尼与芬太尼静脉麻醉在老年患者中的麻醉效果对比分析  

Comparison analysis on theanesthetic effect of remifentanil and fentanyl intravenous anesthesia in elderly patients

作　　者：任晓红[1] 赵湘[1] 刘涛香[1] 

机构地区：[1]射洪县人民医院麻醉科,四川射洪629200

出　　处：《四川医学》2013年第3期405-407,共3页Sichuan Medical Journal

摘　　要：目的比较瑞芬太尼与芬太尼静脉麻醉在老年患者中的麻醉效果。方法选取2011年7月～2012年7月于本院进行手术治疗的76例老年患者为研究对象,将所有患者随机分为A组(芬太尼静脉麻醉组)38例和B组(瑞芬太尼静脉麻醉组)38例,然后将两组患者麻醉前、术中10min及术后5min的血流动力学指标、血液粘度指标及苏醒时间、不良反应发生率进行比较。结果 B组术中10min及术后5min的血流动力学指标、血液粘度指标指标均低于A组,苏醒时间短于A组,不良反应发生率低于A组,P均<0.05。结论瑞芬太尼静脉麻醉在老年患者中的应用效果好于芬太尼,且不良反应发生率也更低。Objective To compare the anesthetic effect of remifentanil and fentanyl intravenous anesthesia in elderly pa- tients. Methods 76 elderly patients treated with operation in our hospital from july 2011 to July 2012 were selected as research object, and they were randomly divided into group A（fentanyt intravenous anesthesia group）38 cases and group B（ remifentanil in- travenous anesthesia group） 38 cases, then the hemodynamic parameters, Blood viscosity indexes before the anaesthesia, at 10 rain during the operation and at 5 rain after the operation ,recovery time and incidence of adverse reaction of two groups were Compared. Results The hemodynamic paraineters and Blood viscosity indexes of group B at 10 rain during the operation and at 5 rain after the operation were all lower than those of group A,recovery time was shorter than that of group A,incidence of adverse reaction was lower than that of group A, all P 〈 0. 05. Conclusion The application effect of remifentanil and fentanyl intravenous anesthesia in elderly patients is better than that of fentanyl, and the incidence of adverse reaction is lower.

关 键 词：瑞芬太尼 芬太尼 静脉麻醉 老年患者 效果 

分 类 号：R614[医药卫生—麻醉学]