瑞芬太尼与芬太尼静脉麻醉在老年患者手术麻醉中的对比分析

发布时间：2018-01-03 11:01

本文关键词：瑞芬太尼与芬太尼静脉麻醉在老年患者手术麻醉中的对比分析　出处：《科技展望》2016年10期 　论文类型：期刊论文

【摘要】：目的:探讨瑞芬太尼和芬太尼静脉麻醉在老年患者手术麻醉中的效果对比。方法:选择在我院2014年4月~2015年4月接受腹部手术治疗的90例老年患者,随机把其分为观察组与对照组2组,各组45例,分别使用瑞芬太尼和芬太尼实施麻醉,比较2组患者的临床效果。结果:观察组插管和切皮后心率、血压都没有显著的变化,对照组插管和切皮后心率、血压发生显著的升高;观察组拔管时间、恢复自主呼吸的时间和出麻醉室时间跟对照组比较相对短,2组差异明显的麻醉效果,有统计学意义(P0.05)。结论:在老年患者手术麻醉使用瑞芬太尼和芬太尼时,瑞芬太尼的麻醉效果显著比芬太尼要好,并且瑞芬太尼对患者身体影响相对小,获得临床推广。
[Abstract]:Objective: to compare the effect of remifentanil and fentanyl intravenous anesthesia in elderly patients. From April 2014 to April 2015, 90 elderly patients underwent abdominal surgery in our hospital. They were randomly divided into two groups: observation group and control group. 45 patients in each group were anesthetized with remifentanil and fentanyl respectively. There was no significant change in blood pressure. In the control group, the heart rate and blood pressure increased significantly after intubation and skin incision. Compared with the control group, the time of extubation, recovery of spontaneous respiration and time of extubation in the observation group were significantly different from those in the control group. Conclusion: remifentanil and fentanyl are more effective than fentanyl in elderly patients. Remifentanil has relatively little effect on the body of patients and has been popularized clinically.
【作者单位】：双鸭山市煤炭总医院;
【分类号】：R614
【正文快照】： 1资料与方法1.1一般资料选择在我院2014年4月~2015年4月接受腹部手术治疗的90例老年患者,随机把其分为观察组和对照组2组,45例观察组,23例男,22例女,位56~79岁的年龄,平均(64.5±5.3)岁,平均为(53.9±5.8)kg的体重。45例对照组,24例男,21例女,为53~78岁的年龄,平均(64.9±5.5)

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