瑞芬太尼在老年人腹部手术麻醉中的应用

Application of Ruifentaini in the Anesthesia of Abdominal Surgery in the Elderly

目的对瑞芬太尼在老年人腹部手术麻醉中的应用予以探讨。方法随机选取本院收治的开展腹部手术的老年患者72例,所有患者均为2015年3月~2017年1月间收治,将其随机均分为对照组(芬太尼)与观察组(瑞芬太尼),两组采用两种不同的麻醉方法。结果观察组患者苏醒期间不良反应发生率为19.4%,显著低于对照组患者的41.7%。两组患者的不良反应发生率比较差异显著有统计学意义(χ~2=4.22,P<0.05),观察组患者术后呼吸恢复时间、睁眼时间、拔管时间均短于对照组(P<0.05),差异具有统计学意义。结论老年人腹部手术麻醉中应用瑞芬太尼,麻醉效果良好,且具有较高的安全性,值得临床应用。

Objective To explore the application of remifentanil in abdominal anesthesia in the elderly. Methods A total of 72 elderly patients undergoing abdominal surgery were randomly selected from March 2015 to January 2017. They were randomly divided into control group（fentanyl） and observation group（ Remifentanil）, two groups using two different anesthesia methods. Results The incidence of adverse reactions during the awakening period was 19.4%, which was significantly lower than that of the control group（41.7%）.（P〈0.05）. The incidence of adverse reactions was significantly higher in the two groups than in the control group（P〈0.05）, and the difference was significant（P〈0.05） Differences were statistically significant. Conclusion The use of remifentanil in elderly patients undergoing anesthesia with anesthesia is effective and has a high safety and is worthy of promotion.