瑞芬太尼与芬太尼静脉麻醉在老年患者手术麻醉中的效果比较

Comparison of Remifentanil and Fentanyl Intravenous Anesthesia in Elderly Patients Undergoing Surgical Anesthesia

目的探讨瑞芬太尼与芬太尼静脉麻醉在老年患者手术麻醉中的效果。方法选择我院60例手术麻醉老年患者作为研究对象,随机分为观察组与对照组,每组30例,观察组予以瑞芬太尼进行静脉麻醉,对照组予以芬太尼进行静脉麻醉,比较两组患者的术后恢复情况。结果两组患者定向力恢复时间、自主呼吸恢复时间、苏醒时间相比较,观察组均优于对照组,差异有统计学意义(P<0.05)。结论对老年患者予以瑞芬太尼进行静脉麻醉,效果更加显著,不会对患者的心率、血压等造成影响,安全性更高。

Objective To investigate the effect of remifentanil and fentanyl intravenous anesthesia in elderly patients undergoing surgical anesthesia. Methods 60 cases of surgical anesthesia in elderly patients as the research object, randomly divided into observation group and control group, 30 cases in each group, the observation group given remifentanil intravenous anesthesia, patients in control group were given fentanyl intravenous anesthesia, compared two groups of patients with postoperative recovery. Results The two groups of patients with directional force recovery time, spontaneous breathing recovery time, recovery time were compared, the observation group were better than the control group, the difference was statistically significant （P 〈 0.05）. Conclusion Elderly patients with remifentanil for intravenous anesthesia, the effect is more significant, not on the patient＇s heart rate, blood pressure and other effects, higher safety.