预防性围术期麻醉管理对老年手术患者麻醉并发症的影响  

Effect of preventive perioperative anesthesia management on the reduction of anesthetic complications in elderly patients

作　　者：曾递刚 ZENG Di-gang(The People's Hospital of Jiajiang County,Leshan 614100,China)

机构地区：[1]夹江县人民医院,四川乐山614100

出　　处：《吉林医学》2020年第6期1474-1476,共3页Jilin Medical Journal

摘　　要：目的:研究探讨对老年手术患者实施预防性围术期麻醉管理对减少麻醉并发症的影响。方法:选择收治的老年手术100例患者进行此次研究,根据随机数字表法进行分组研究,分为对照组50例与试验组50例,对照组患者均接受常规麻醉管理,试验组患者接受预防性围术期麻醉管理,比较两组患者的生命体征变化与麻醉并发症发生率。结果:T2时刻与T1时刻比较,试验组血压与心率稍微下降,差异无统计学意义(P>0.05),而对照组则下降显著,差异有统计学意义(P<0.05);T 3时刻两组患者的血压与心率都升高,并且实验组的升高程度高于对照组,差异有统计学意义(P<0.05);T4、T5时刻两组患者血压与心率比较差异无统计学意义(P>0.05);T6时刻对照组血压显著下降,实验组略微升高或下降;T7时刻实验组与对照组血压、心率差异无统计学意义(P>0.05)。试验组血压升高、血压下降、寒战、心律失常、的发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论:对老年手术患者开展预防性围术期麻醉管理可维持患者生命体征平稳,并显著减少麻醉并发症的发生率,在临床上有显著的推广应用价值。Objective to investigate the effect of preventive perioperative anesthesia management on the reduction of anesthetic complications in elderly patients.Method 100 elderly patients undergoing operation in our hospital were selected for this study.According to the random digital table method,the patients in the control group were divided into two groups:the control group(n=50)and the experimental group(n=50).The patients in the control group received routine anesthesia management,and the patients in the experimental group received preventive perioperative anesthesia management.To compare the changes of vital signs and the incidence of anesthesia complications between the two groups.Results The blood pressure and heart rate in the experimental group were slightly lower than those in the control group at T 2 and T 1.The changes of vital signs and the incidence of anaesthesia complications were compared between the two groups(P>0.05).The blood pressure and heart rate in the control group were significantly lower than those in the control group at T 3(P<0.05),and the blood pressure and heart rate in the experimental group were significantly higher than those in the control group(P<0.05)and there was no significant difference in the blood pressure and heart rate between the two groups at the time of T 4 and T 5(P>0.05).The blood pressure in the experimental group was significantly lower than that in the control group at the time of T 6.There was no significant difference in the heart rate between the experimental group and the control group at T7.The incidence of hypertension,blood pressure decrease,shivering and arrhythmia in the experimental group were significantly lower than that in the control group(P<0.05).Conclusion The preventive perioperative anaesthesia management can keep the patient′s vital signs stable and reduce the incidence of anesthetic complications,so it has a significant value in clinical application.

关 键 词：老年患者 手术麻醉 预防性围术期麻醉管理 麻醉并发症 

分 类 号：R473.6[医药卫生—护理学]