摘要
用异丙酚复合芬太尼和卡肌宁对２０例６０岁以上病人麻醉诱导的血压等进行了观察。结果表明，麻醉诱导时收缩压和舒张压分别下降３．６±１．６ｋＰａ和３．１±２．０ｋＰａ，差异均有极显著性（均为Ｐ＜０．０１），尤其舒张压下降的程度更显著，有１４例下降程度＞４１％；其血压下降持续时间均大于１０ｍｉｎ；心率下降不显著。此结果提示该药易造成老年病人的心肌氧供需平衡的损害，应用时应注意剂量和给药速度。
The effect of anaesthetic induction by diprivan combined with Fentony and Tractium on the blood pressure was observed in 20 patients over 60 years of age.It was found that this agent caused an obvious decrease both in the systolic and in the diastolic pressures(3.6±1.6kPa and 3.1±2.0kPa respectively).The differences were significant(P<0.01).In 41 of the patients,the decrease was most remarkable(over 41%)and lasted over 10 minutes though the changes in the heart rate were insignificant.The above indicates that this agent may be detrimental to the balance between myocardial supply and consumption.Hence we suggest that in anaesthetic induction in aged people,the dosage used and the injection speed should be appropriate.
出处
《青岛医学院学报》
1994年第2期141-143,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
异丙酚
麻醉诱导
老年人
血压
diprivan
anaesthetic induction
aged
blood pressure
