不同全麻方式对老年患者术后麻醉苏醒的影响

Effects of Different General Anesthesia on Postoperative Anesthesia Recovery in Elderly Patients

目的:探究老年患者长时间手术后麻醉苏醒的有效麻醉方式。方法:选择2016年1月—2016年10月60例经过手术后的老年病患,用抽签的方式来进行随机分组,分为六组麻醉类型进行实验。为了使麻醉的效果得到长时间的维持,就要依据相应的术中监测情况来对七氟醚和异丙酚麻醉剂的吸入量进行调节,监护仪的数值保持在55~65之间,再根据病例的动脉测试数值来对瑞芬太尼进行适当的注入,当手术完成后,停止各类麻醉剂的使用。最后对病患醒来的具体时间以及康复时间等进行观察。结果:异丙酚七氟醚复合麻醉组、瑞芬太尼的醒来时间与康复时间差异没有统计学意义(P>0.05);先异丙酚后七氟醚组的苏醒时间以及恢复时间都比前面几组的时间要快(P<0.05)。结论:在给患者进行麻醉的时候,异丙酚和七氟醚先后使用的麻醉方法能够使经过较长手术时间的老年患者快速苏醒,具有一定的临床价值。

Objective:To study the type of anesthesia that can wake the elderly after anesthesia for long period of time.Methods:From January2016to October2016,60postoperative patients for anesthesia were randomly divided into five groups.The effect of appropriate supervision to sevoflurane and propofol anesthetic inhalation,adjust the value of the monitor to maintain between55-65,and appropriate injection of remifentanil according to the patient's arterial test values are important to maintain long period of anesthesia.Finally,the wake up time and rehabilitation time were observed.Results:There was no significant difference in awakening time and recovery time between propofol and sevoflurane combined with anesthesia group(P>0.05).The recovery time and recovery time of pretreatment group Faster than the previous group(P<0.05).Conclusions:Anesthesia with propofol and sevoflurane can quickly wake up patients after a long period of postoperative surgery and have a certain medical effect.