舒芬太尼-丙泊酚对老年患者进行静脉麻醉的临床效果

发布时间：2018-07-25 12:38

【摘要】：目的探讨舒芬太尼-丙泊酚对老年患者进行静脉麻醉的临床效果。方法选择120例接受腹腔手术的老年患者为研究对象,利用随机数字表将其分为对照组与观察组,对照组患者接受0.3μg/(kg·min)舒芬太尼药物以及80μg/(kg·min)丙泊酚药物进行麻醉,观察组患者接受0.15μg/(kg·min)舒芬太尼药物以及80μg/(kg·min)丙泊酚药物进行麻醉,对比两组患者的麻醉效果。结果两组患者的血流动力学指标比较,差异无统计学意义(P0.05)。观察组患者的麻醉苏醒时间以及拔管时间要明显短于对照组患者,差异有统计学意义(P0.05)。两组患者的VAS评分比较,差异无统计学意义(P0.05)。对照组不良反应的发生率为23.33%,观察组不良反应发生率为6.67%,差异有统计学意义(P0.05)。结论 0.15μg/(kg·min)舒芬太尼药物以及8 0μg/(kg·min)丙泊酚药物对老年患者进行静脉麻醉,具有比较理想的麻醉效果,可以起到有效镇痛的效果,能够显著降低患者的苏醒时间,减少拔管时间,同时降低不良反应发生率,具有更高的安全性,值得临床应用与推广。
[Abstract]:Objective to investigate the clinical effect of sufentanil-propofol on elderly patients undergoing intravenous anesthesia. Methods 120 elderly patients undergoing abdominal surgery were randomly divided into control group and observation group. The control group received 0.3 渭 g / (kg min) sufentanil and 80 渭 g / (kg min) propofol. Observation group received 0.15 渭 g / (kg min) sufentanil and 80 渭 g / (kg min) propofol. Results there was no significant difference in hemodynamic indexes between the two groups (P0.05). The anaesthesia recovery time and extubation time in the observation group were significantly shorter than those in the control group (P0.05). There was no significant difference in VAS score between the two groups (P0.05). The incidence of adverse reactions in the control group was 23.33 and that in the observation group was 6.67. The difference was statistically significant (P0.05). Conclusion 0.15 渭 g / (kg min) sufentanil and 80 渭 g / (kg min) propofol for intravenous anaesthesia in elderly patients have ideal anaesthesia effect, can play an effective analgesic effect, can significantly reduce the recovery time and extubation time of the patients. At the same time, reduce the incidence of adverse reactions, with higher safety, worthy of clinical application and promotion.
【作者单位】：广东省东莞市沙田医院手术室;
【分类号】：R614

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