老年单侧下肢手术患者镇静麻醉效果对比分析

Comparative Analysis of Sedation and Anesthesia in Elderly Patients Undergoing Unilateral Lower Extremity Surgery

目的对比研究老年单侧下肢手术患者行异丙酚镇静麻醉、异丙酚联合咪唑安定麻醉的镇静麻醉效果。方法在该院2017年8月-2019年1月收治的老年单侧下肢手术患者中选取84例作为研究对象,按照不同的镇静麻醉方式分两组观察组和对照组,观察组42例,对照组42例,对照组采用异丙酚进行镇静麻醉,观察组采用异丙酚联合咪唑安定镇静麻醉,对比两组不同时间点的MAP和HR水平、术中与术毕的镇静评分(Ramsay评分标准)。结果观察组与对照组比较,观察组的各时间点的MAP和HR水平均较低,术中镇静评分较高,术后镇静评分较低,各项对比差异有统计学意义(P<0.05)。结论老年单侧下肢手术患者中采用异丙酚联合咪唑安定有更好的镇静麻醉效果,术中能够良好地保障心率、动脉压与镇静效果,术后镇静麻醉效果可尽快清除,促使患者恢复意识,可降低镇静麻醉药物毒性反应,有较高的临床运用价值,可进一步推广。

Objective To compare the sedative and anesthetic effects of propofol, propofol combined with midazolam anesthesia in elderly patients undergoing unilateral lower extremity surgery.Methods In our hospital in August 2017 to January 2019 old patients with unilateral lower limb surgery of 84 cases as the research object, according to the different way of sedation anesthesia is divided into two groups to observe group and control group and observation group, 42 cases in the control group, 42 cases, control group using propofol sedation anesthesia, observation group with propofol combined imidazole settle sedation anesthesia, compared two groups of different time points of the MAP and HR, intraoperative and bi sedation score(Ramsay score standard).Results Compared with the control group, the MAP and HR levels of the observation group at each time point were lower, the intraoperative sedation score was higher, and the postoperative sedation score was lower, and all the differences were significant(P<0.05).Conclusion In elderly patients with unilateral lower limb surgery with propofol combined imidazole valium have better sedation anesthesia effect, intraoperative can good heart rate, arterial pressure and sedative effect, postoperative sedation anesthesia effect can be removed, as soon as possible to regain consciousness, reduces the sedation anesthesia drug toxicity reaction, have high clinical application value, can be further promoted.