舒芬太尼和芬太尼在老年腹腔镜手术治疗中的麻醉效果对比观察

Comparative Observation of Anesthesia Effect of Sufentanil and Fentanyl on Elderly Laparoscopic Surgery

目的对比和探究舒芬太尼和芬太尼在老年腹腔镜手术治疗中的临床麻醉效果。方法选取2018年3月至2019年5月期间收治的进行老年腹腔镜手术的患者总计84例,按随机数字表法分为研究组和对照组,每组患者各42例。对照组选取芬太尼最为主要的麻醉药物,研究组选取舒芬太尼作为主要的麻醉药物。记录患者麻醉前、麻醉完成后的收缩压、舒张压、心率以及血氧饱和度的变化情况。记录患者术后自主呼吸的时间、定向力恢复的时间以及能自主睁眼的时间。比较两组患者的手术麻醉效果。结果两组患者麻醉后较麻醉前的收缩压、舒张压、心率以及血压饱和度均有所下降(P<0.05)。对照组的下降较研究组更为明显(P<0.05)。研究组术后自主呼吸的时间、定向力恢复的时间以及能自主睁眼的时间均短于对照组(P<0.05)。结论在老年腹腔镜手术治疗中的麻醉药物选择,舒芬太尼的麻醉效果更为理想,术中对生命体征的影响更小,术后的苏醒情况更为理想,值得在临床推广。

Objective to compare and explore clinical anesthesia effect of sufentanil and fentanyl in treatment of elderly laparoscopic surgery.Methods choose 84 cases elderly patients with laparoscopic surgery from March 2018 to May 2019,divide them into study group and control group according to random digital table method,42 cases in each group.Control group was treated with fentanyl as main anesthetic,and study group with sufentanil as main anesthetic.Record changes of systolic blood pressure,diastolic blood pressure,heart rate and blood oxygen saturation before and after anesthesia,and spontaneous breathing time after operation,directional force recovery time,autonomous eyes opening time,and compare surgical anesthesia effect between two groups.Results systolic blood pressure,diastolic blood pressure,heart rate and blood pressure saturation of two groups after anesthesia decreased compared with before anesthesia(P<0.05).Decrease in control group was more obvious than study group(P<0.05).Time of spontaneous breathing,recovery of directional force and spontaneous eye opening time of study group was shorter than control group(P<0.05).Conclusion for selection of anesthesia drugs for elderly laparoscopic surgery,sufentanil has more ideal anesthesia effect,with less on vital signs during surgery,more ideal recovery after surgery,which is worthy of clinical promotion.