老年心脏病患者行非心脏手术的临床麻醉探讨  

Clinical Anesthesia for Non Cardiac Surgery in Elderly Patients with Heart Disease

作　　者：张晓辉 ZHANG Xiao-hui(Ruyang County People＇s Hospital,Luoyang,Henan,471200,China)

机构地区：[1]河南省洛阳市汝阳县人民医院麻醉科,河南洛阳471200

出　　处：《临床研究》2018年第11期38-39,共2页Clinical Research

摘　　要：目的总结分析老年心脏病患者行非心脏手术的临床麻醉方法及其安全性。方法本次研究随机选取本院2015年2月～2016年10月期间接收的88例老年心脏病行非心脏手术治疗患者,对这些患者的临床麻醉方法以及麻醉效果进行回顾分析。结果本次研究中共采用了5种麻醉方法,88例老年患者麻醉后,麻醉效果评定为优的有75例、良10例、差3例,麻醉优良率为96.6%,没有出现死亡病例。结论对于老年心脏病患者在进行非心脏手术治疗中,应对患者进行全面的检查,做好术前麻醉风险的评估,从而选择出最佳的临床麻醉方法,在保证麻醉效果的同时减少对患者的伤害。Objective To summarize the clinical anesthesia methods and safety of noncardiac surgery in elderly patients with heart disease. Methods A total of 88 elderly patients with heart disease who underwent noncardiac surgery were enrolled in this study from February 2015 to October 2015. The clinical anesthesia and anesthetic effects of these patients were retrospectively analyzed. Results In this study, five anesthesia methods were used in this study. Eighty-nine elderly patients were anesthetized. The anesthesia was evaluated as excellent in 75 cases, good in 10 cases and poor in 3 cases. The excellent and good rate of anesthesia was 96.6%. There was no death. Conclusion For elderly patients with heart disease in the non-cardiac surgery, patients should be a comprehensive examination, do preoperative assessment of the risk of anesthesia, and thus choose the best clinical anesthesia, while ensuring the effect of anesthesia to reduce the number of patients Of the injury.

关 键 词：老年心脏病 非心脏手术 临床麻醉探讨 

分 类 号：R614[医药卫生—麻醉学]