瑞芬太尼复合静吸全麻在老年患者手术麻醉中的应用

摘要

Objective:To observe the efficacy of Remifentanil combined intravenous and inhalation anesthesia in elderly patients for surgical anesthetic. Method:82 cases of elderly patients were administrated by Remifentanil combined intravenous and inhalation anesthesia.The changes of blood pressure and heart rate after administration were observed.The time of open eyes after surgery,breathing recovery and extubation were recorded.Result:SBP during intubation, incision and surgical 1 h were significantly lower than baseline(P<0.05).There were no different between each point in all time in SBP and DBP.Compared with baseline,there were no different in each time point in DBP.There had no significant effect on HR in all patients.The time of open eyes time was (5.9±2.2)s, breathing recovery was (5.2±3.4)s and extubation was (8.3±2.3)s.Conclusion:The hemadynamics was stable during surgery in elderly patients by Remifentanil combined intravenous and inhalation anesthesia,the efficacy of anesthesia was satisfied.%目的：观察瑞芬太尼复合静吸在老年患者手术麻醉中的应用。方法：82例老年患者，使用瑞芬太尼复合静吸全麻，观察患者麻醉过程中的血压和心率变化，并记录患者术后睁眼时间、呼吸恢复时间和拔管时间。结果：瑞芬太尼复合静吸收缩压(SBP)在插管、切皮和手术1 h时明显低于基础值(P<0.05)，舒张压(DBP)在各时点时与基础值比较差异均无统计学意义(均P>0.05)，并且在各时点SBP和DBP比较差异均无统计学意义(均P>0.05)。心率(HR)各时间点与基础值比较差异均无统计学意义(均P>0.05)。患者睁眼时间为(5.9±2.2)s，呼吸恢复时间为(5.2±3.4)s，拔管时间为(8.3±2.3)s。结论：瑞芬太尼复合静吸在老年患者手术麻醉中患者血液动力学平稳，能达到较好的麻醉效果。