静吸麻醉用于老年胸内手术  

USE OF INTRAVENOUS PROCAiNE ANETHETIC PLUS INHALED ANESTHETIC FOR INTRATHORACIC SURGERY ON AGED PATIENTS

作　　者：王延涛[1] 卞平男[1] 王如英[1] 刘德生[1] 

机构地区：[1]徐州医学院附院麻醉科

出　　处：《徐州医学院学报》1991年第3期175-178,共4页Acta Academiae Medicinae Xuzhou

摘　　要：本文应用静吸麻醉和静脉复合麻醉两组对照的方法,为65岁以上的老人进行胸内手术各35例。静吸麻醉组,诱导期间心率、每搏量、心输量、每搏指数、心脏指数、左心有效泵力及总外周阻力的影响均较静脉复合麻醉组轻。静吸麻醉诱导、气管插管及麻醉维持期间的血压波动较静脉复合麻醉组明显减轻,组间差P<0.05。静吸麻醉苏醒迅速,是用于老年胸内手术的最佳麻醉方法。The hemodynamics was studied in 2 groups of aged patients undergoing intrathoracic surgery under different kinds of general anesthesia. Group I, 23 males and 12 females, aged 66.8±1.3, were given isoflurane in addition to intravenous procaine compound anesthetic (IPA, procaine and atracuri-um ) 5 group II, 28 males and 7 females, aged 67.4±1.8, were only given IPA ( procaine, pethidine and succinylcholine ) . It was found that the lowering of the hemodynamic indices, including HR, SV, GO, SI, CI, VPE and TPR and being present in both groups, was less in degree in group I than in group I after induction and intubation. The fluctuation of blood pressure ( increase or decrease ) after induction and intubation and during operation was also less marked in group I than in group II( P<0.05 ) . Besides, group I patients recovered from anesthsia earlier than group II. These results indicate that the use of IPA plus inhaled isoflurane is the choice anesthesia for-intrathoracic surgery on aged patients.

关 键 词：异氟醚 静脉麻醉 老年 胸 手术 

分 类 号：R614.24[医药卫生—麻醉学]