摘要
目的探讨两种不同麻醉诱导方法在老年肺癌患者麻醉中的应用,为老年患者麻醉提供更安全的麻醉诱导方式。方法选取2013年2月至2014年2月间收治的老年择期手术患者84例。随机分为两组,每组各42例患者。其中Ⅰ组采用单纯咪唑安定诱导法,Ⅱ组采用咪唑安定和异丙酚联合诱导法,分别对两组老年肺癌患者进行气管插管后全身麻醉。记录患者在诱导前、插导管前和插管后的血流动力学方面指标变化情况。结果用药后,Ⅱ组患者各时段平均动脉压差异有统计学意义(P<0.05)。Ⅱ组患者麻醉后并发症的发生率明显低于Ⅰ组患者,差异有统计学意义(P<0.05)。结论采用咪唑安定联合异丙酚进行老年患者的全身麻醉诱导的安全性更强,并发症更少,值得临床推广。
Objective Explore the different effect of two anesthesia induction method for elderly lung cancer patients and to provide basis for safety anesthesia of elderly patients. Methods Eighty-four cases of selective operation elderly patients,from February 2013 to February 2014,were divided into two groups,Ⅰgroup was inducted with midazolam alone method. Meanwhile,Ⅱgroup was treated with midazolam combining with propofol method for endotracheal intubation general anesthesia. Then,heart rate（ HR）and mean arterial pressure（ MAP） were recorded at repose time,before intubation and after intubation. Adverse reaction was also observed. Results The HR and MAP of Ⅱ group is more stable than those in Ⅰgroup,besides,the rate of adverse ofⅡ group is lower thanⅠ group,the difference was statistically significant. Conclusions Using the method of midazolam combining with propofol is superior to midazolam alone method for elderly patients,and it＇s worthy of widely popularizing.
出处
《中国肿瘤临床与康复》
2015年第6期647-649,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
