摘要
目的比较不同全麻诱导插管对老年患者循环系统的影响。方法 80例择期手术的老年病人,随机分为两组,Ⅰ组采用健忘镇痛慢诱导法,Ⅱ组采用静脉快速诱导法,进行气管插管全身麻醉。记录静卧首次(T_0)、给药后2min(T_1)、插管前(T_2)、插管即刻(T_3)、插管后1min(T_4)、插管后3min(T_5)、插管后5min(T_6)的HR、MAP、SpO_2,观察不良反应发生情况。结果 T_0时两组MAP和HR差异无统计学意义(P>0.05);与T_0时比较,Ⅰ组各时刻MAP和HR差异无统计学意义(P>0.05);与T_0时比较,Ⅱ组T_(1～2)MAP降低(P<0.05);与T_0时比较,Ⅱ组T_(3～5)MAP升高(P<0.05);与T_0时比较,Ⅱ组T_2HR降低(P<0.05);与T_0时比较,Ⅱ组T_(3～5)HR升高(P<0.05);与Ⅰ组比较,Ⅱ组高血压和心动过速增多(P<0.05)。结论与静脉快诱导相比健忘镇痛慢诱导法用于老年人更为安全,对血流动力学影响小,并发症少。
Objective To compare the effects of different anesthesia induction and tracheal intubation on circulatory system in elderly patients. Methods Eighty elderly patients undergoing elective surgery were randomly divided into two groups, Ⅰ group were treated with amnesia induced slow analgesia method; Ⅱ group were treated with intravenous rapid induction method for endotracheal intubation general anesthesia. HR, MAP and SpO2 at repose time （ T0 ）, 2min after administration （ T1 ）, before intubation （ T2 ）, immediate intubation （ T3 ）, 1 min after intubation （T4 ）, 3 min after intubation （ T5 ）, 5 min after intubation （ T6 ） were recorded. The occurrence of adverse reaction were observed. Results At To MAP and HR in the two groups was no significant difference （P 〉 0. 05 ） ; when com- pared with To, MAP and HR at all time in group was no significant difference （ P 〉 0. 05 ） ; and compared with To, MAP at T1-2 in Ⅱ group was lower （P 〈0. 05） ; when compared with To, MAP at T3 - 5 in Ⅱ group was higher （P 〈0. 05） ; when compared with To, HR at T2 in Ⅱ group was lower （P 〈0.05） ; and compared with To, HR at T3-5 in Ⅱ group was higher （P 〈 0. 05 ） ; compared with group Ⅰ , incidence of hypertension and tachycardia was higher（ P 〈 0. 05）. Conclusion Compared with the rapid intravenous analgesia amnesia slow-induced analgesia method is more secure in the elderly patients, the impact on hemodynamics is small, with few complications.
出处
《中国临床新医学》
2010年第3期221-224,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
诱导方法
老年
麻醉
安全性
Induction method
Old
Anesthesia
Security
