全静脉麻醉与吸入麻醉对老年患者苏醒期谵妄发生率的影响比较

发布时间：2018-03-05 06:24

本文选题：全静脉麻醉　切入点：吸入麻醉　出处：《临床医学》2016年04期 　论文类型：期刊论文

【摘要】：目的研究全静脉麻醉与吸入麻醉作为手术麻醉药对老年患者苏醒期谵妄发生率的影响。方法将160例接受麻醉的老年患者随机分为全静脉麻醉组与吸入麻醉组,全静脉麻醉组采用异丙酚/瑞芬太尼全静脉麻醉,吸入麻醉组采用七氟醚吸入麻醉,分别在麻醉后采用麻醉苏醒期谵妄分级量表(DRS-R-98)、疼痛行为评估量表(FLACC)监测谵妄发生率及麻醉效果。结果吸入麻醉组谵妄发生率高于全静脉麻醉组,差异有统计学意义(P0.05);谵妄分级值吸入麻醉组谵妄发生率高于全静脉麻醉组,差异有统计学意义(P0.05);疼痛行为评估量表值吸入麻醉组高于全静脉麻醉组(P0.05);全静脉麻醉组喉罩通气移除时间和平稳睡眠较吸入麻醉组长,差异有统计学意义(P0.05)。结论老年患者采用全静脉麻醉发生苏醒期谵妄概率较低,可改善麻醉后患者的症状。
[Abstract]:Objective to study the effect of total intravenous anesthesia and inhaled anesthesia on the incidence of delirium in elderly patients during recovery period. Methods 160 elderly patients undergoing anesthesia were randomly divided into general intravenous anesthesia group and inhaled anesthesia group. Propofol / remifentanil was used in total intravenous anesthesia group and sevoflurane inhalation anesthesia was used in inhaled anesthesia group. After anesthesia, the incidence of delirium and the anesthetic effect were monitored by DRS-R-98 and FLACC.Results the incidence of delirium in inhalation anesthesia group was higher than that in general intravenous anesthesia group. The incidence of delirium in inhalation anesthesia group was higher than that in general intravenous anesthesia group. The difference was statistically significant (P 0.05); the pain behavior assessment scale was higher in the inhalation anesthesia group than in the total intravenous anesthesia group; the laryngeal mask ventilation removal time and stable sleep in the total intravenous anesthesia group were higher than those in the inhaled anesthesia group. Conclusion the rate of delirium in the old patients with total intravenous anesthesia is lower than that in the old patients, which can improve the symptoms of the patients after anesthesia.
【作者单位】：广东省高州市中医院;
【分类号】：R614

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