麻黄碱用于老年人麻醉诱导预防心血管反应及呛咳的临床观察

The clinical observation of prevention cardiovascular reponse and cough about induction of anesthesia for the elderly useing Ephedrine

目的观察麻黄碱在60岁以上老年人芬太尼和丙泊酚麻醉诱导中的应用。方法择期上腹部及胸科手术行全身麻醉的病人40例,随机分成2组,每组20例,对照组诱导时加用生理盐水(A组);观察组诱导时加用麻黄素0.1mg/kg(B组)。麻醉后观察2组患者收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)、脉搏、血氧饱和度(SPO2)和心电图的变化。结果 2组病人一般资料无明显差异(P>0.05);A组病人在诱导期间SBP、HR即出现较诱导前基础值明显血压下降(P<0.05);B组病人诱导前后SBP无变化,HR较前略有升高。结论麻黄碱用于老年患者麻醉诱导能明显减轻芬太尼和丙泊酚的心血管抑制反应,维持血流动力学的稳定,还能有效的抑制芬太尼诱发的呛咳,具有一定的临床适用性。

Objective To investigate the effect on Propofoland and fentany during general anesthesia inductioin of patients above the age of 60years.Methods Forty patients undergoing abdomen and chest Branch general anesthesia operation were randomly allocated to 2 groups(20 each): group A used NS when operated,group B received ephedrine(0.1mg/ kg).After the anesthesia the data of SBP,DBP,MAP,HR,pulse,SPO2 and ECG was recorded.ResulsThe difference between the 2 groups data was not significant(P> 0.05);SBP and HR de...