老年患者锁骨骨折手术治疗使用七氟醚复合麻醉与异丙酚复合麻醉的应用分析  

Application of sevoflurane combined anesthesia and propofol combined anesthesia for clavicular fracture in elderly patients

作　　者：李露 王瑞杰 杨世洁 汪柯柯 Li Lu;Wang Ruijie;Yang Shijie;Wang Keke(Baiyin Hospital of Integrated Traditional Chinese and Western Medicine,Baiyin,Gansu 730900,China)

机构地区：[1]甘肃省白银市中西医结合医院,甘肃白银730900

出　　处：《首都食品与医药》2024年第3期57-59,共3页Capital Food Medicine

摘　　要：目的分析老年患者锁骨骨折手术治疗使用七氟醚复合麻醉与异丙酚复合麻醉的应用效果。方法在甘肃省白银市中西医结合医院骨伤科收治的锁骨骨折的老年患者中,选取60例作为研究对象,时间在2019年2月-2022年2月,均行手术治疗。按照随机分组的原则,将其划分为对照组30例(采取异丙酚+瑞芬太尼复合麻醉)和观察组30例(采取七氟醚+瑞芬太尼复合麻醉)。对两组患者的麻醉时间、苏醒时间及拔管时间进行记录,且对不同时间段患者的生理指标(心率、平均动脉压、血氧饱和度)进行监测。结果观察组患者的拔管时间、苏醒时间相较于对照组更短,差异显著(P<0.05);观察组患者的麻醉时间相较于对照组更长,差异显著(P<0.05),在诱导前,观察组的HR、SpO_(2)、MAP指标相较于对照组无差异(P>0.05),在诱导后,两组患者HR、MAP指标均明显下降,而SpO_(2)升高,差异显著(P<0.05);组间比较,观察组的HR、SpO_(2)、MAP指标更稳定,差异具有统计学意义(P<0.05)。结论对老年患者锁骨骨折手术治疗予以七氟醚复合麻醉相较于异丙酚复合麻醉,麻醉效果更好,术中患者的基本生命体征稳定,可在临床进行推广。Objective To analyze the effects of sevoflurane combined anesthesia and propofol combined anesthesia in the surgical treatment of clavicle fracture in elderly patients.Methods 60 cases of elderly patients with clavicle fracture admitted to the Orthopedics and Traumatology Department of our hospital were selected as the study objects from February 2019 to February 2022,and all of them were treated with surgery.According to the principle of randomization,the patients were divided into control group(30 cases took propofol+remifentanil combined anesthesia)and observation group(30 cases took sevoflurane+remifentanil combined anesthesia).The anesthesia time,awakening time,and extubation time of patients in the two groups were recorded,and the physiological indicators(heart rate,mean arterial pressure,blood oxygen saturation)of patients in different time periods were monitored.Results Compared with the control group,the extubation time and recovery time in the observation group were shorter(P<0.05),and the anesthesia time in the observation group was longer than that in the control group(P<0.05).Before induction,there were no differences in HR,SpO_(2) and MAP in the observation group compared with the control group(P>0.05).After induction,the HR and MAP indexes of the two groups decreased significantly,and the SpO_(2) of the two groups increased significantly,and the difference between the two groups was significantly(P<0.05),and the HR,SpO_(2) and MAP indexes of the observation group were more stable,and the difference was statistically significant(P<0.05).Conclusion Sevoflurane combined anesthesia is better than propofol combined anesthesia in the surgical treatment of clavicle fracture in elderly patients,and the basic vital signs of patients are stable during the operation,which can be popularized in clinical practice.

关 键 词：老年患者 锁骨骨折 七氟醚 异丙酚 复合麻醉 手术状况 麻醉时间 

分 类 号：R683.1[医药卫生—骨科学]