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瑞芬太尼联用丙泊酚靶控输注麻醉对老年食管癌患者术中血压、心率及术后疼痛的影响

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摘要 目的 探究瑞芬太尼联用丙泊酚靶控输注麻醉对老年食管癌患者术中血压、心率(HR)及术后疼痛的影响.方法 选取我院2016年4月 ~2017年10月食管癌老年患者78例,随机分为两组(各39例).对照组采用芬太尼联用丙泊酚,观察组采用瑞芬太尼联用丙泊酚靶控输注麻醉.对比两组术中收缩压(SBP)、舒张压(DBP)、HR变化及拔管后不同时间点疼痛视觉评分(VAS)变化.结果 观察组气腹后10 min DBP、SBP、HR波动幅度小,且水平低于对照组(P〈0.01);观察组术后拔管不同时点VAS评分均较对照组低(P〈0.01).结论 瑞芬太尼联用丙泊酚靶控输注麻醉应用于老年食管癌根治术,镇痛效果明显,且对血流动力学影响较小.
作者 蒿岁雪
出处 《医学新知》 CAS 2018年第3期273-274,共2页 New Medicine
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