老年手术患者采取靶控瑞芬太尼静脉麻醉的临床效果  

Clinical effect of target-controlled intravenous anesthesia of remifentanil in elderly patients undergoing surgery

作　　者：任晓亮 REN Xiao-liang(Department of Anesthesiology,Jinan Hospital of Integrated Traditional and Western Medicine,Jinan 271100,China)

机构地区：[1]济南市中西医结合医院麻醉科,271100

出　　处：《中国现代药物应用》2024年第11期121-124,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察临床上对于老年手术患者实施靶控瑞芬太尼静脉麻醉的效果。方法40例老年手术患者,由随机数字表法分为试验组和对照组,各20例。对照组实施芬太尼麻醉干预,试验组实施靶控瑞芬太尼静脉麻醉干预。比较两组患者满意度,感觉阻滞起效时间、运动阻滞起效时间,不良反应发生率,抑郁、焦虑评分,生活质量评分。结果试验组患者总满意度(95.00%)与对照组(60.00%)相比更高(P<0.05)。试验组患者感觉阻滞起效时间(2.38±0.62)min、运动阻滞起效时间(6.34±1.02)min与对照组患者的(2.96±0.52)、(7.54±1.16)min相比更短(P<0.05)。试验组不良反应发生率(5.00%)与对照组(30.00%)相比更低(P<0.05)。干预后,试验组患者抑郁评分(12.48±3.26)分、焦虑评分(11.05±4.24)分与对照组的(16.59±3.13)、(15.43±4.19)分相比更低(P<0.05)。试验组患者心理功能评分(80.16±4.28)分、物质生活状态评分(81.28±4.61)分、社会功能评分(80.13±3.24)分与对照组的(71.37±4.64)、(72.13±4.62)、(70.92±3.13)分对比更高(P<0.05)。结论靶控瑞芬太尼静脉麻醉在临床老年手术患者干预中的效果更好,且患者对麻醉效果更加满意,感觉阻滞起效时间、运动阻滞起效时间相对较短,更加安全,值得被临床应用推广。Objective To observe the effect of target-controlled intravenous anesthesia of remifentanil in elderly patients undergoing surgery.Methods 40 elderly patients were divided into an experimental group and a control group by random number table method,with 20 patients in each group.The control group received fentanyl anesthesia,and the experimental group received target-controlled intravenous anesthesia of remifentanil.The satisfaction,sensory block onset time,block onset time,incidence of adverse reactions,depression and anxiety score,and quality of life score were compared between the two groups.Results The total satisfaction of the experimental group(95.00%)was higher than that of control group(60.00%)(P<0.05).The experimental group had sensory block onset time of(2.38±0.62)min and motor block onset time of(6.34±1.02)min,which were shorter than(2.96±0.52)and(7.54±1.16)min in the control group(P<0.05).The incidence of adverse reactions in the experimental group(5.00%)was lower than that in the control group(30.00%)(P<0.05).After intervention,the experimental group had depression score of(12.48±3.26)points and anxiety score of(11.05±4.24)points,which were lower than(16.59±3.13)and(15.43±4.19)points in the control group(P<0.05).In the experimental group,the psychological function score was(80.16±4.28)points,the material life status score was(81.28±4.61)points and the social function score was(80.13±3.24)points,which were higher than(71.37±4.64),(72.13±4.62)and(70.92±3.13)points in the control group(P<0.05).Conclusion Target-controlled intravenous anesthesia of remifentanil shows good effect for elderly surgical patients.Patients are more satisfied with the anesthesia effect,and their sensory block onset time and motor block onset time are relatively shorter.It is safer,and is worthy of clinical application and promotion.

关 键 词：老年 手术 静脉麻醉 靶控瑞芬太尼 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]