吸入麻醉和静脉麻醉对老年冠状动脉疾病患者术后心脏功能的影响分析

Effect analysis of inhalation anesthesia and intravenous anesthesia on cardiac function in elderly patients with coronary artery disease after surgery

目的:探讨吸入麻醉和静脉麻醉对老年冠状动脉疾病患者术后心脏功能的影响分析。方法:2016年1月-2019年1月收治行冠状动脉疾病手术的老年患者102例,随机分为两组。对照组48例使用吸入麻醉,观察组54例使用静脉麻醉;比较两组相关指标。结果:观察组心肌梗死、心源性休克、恶性心律失常、复合终点、心力衰竭、心源性猝死等不良心血管事件发生率明显高于对照组。观察组苏醒时间明显长于对照组,但术后MMSE评分明显低于对照组,观察组术后cTnⅠ、CK-MB、Myo水平明显高于对照组,差异均有统计学意义(P<0.05)。结论:吸入麻醉对老年冠状动脉疾病患者术后心脏功能的影响更小,不良心血管事件发生率低,苏醒时间短,对认知功能损伤小,可优先选择。

Objective:To investigate the effects of inhaled anesthesia and intravenous anesthesia on cardiac function in elderly patients with coronary artery disease after surgery.Methods:102 elderly patients with coronary artery disease surgery were selected from January 2016 to January 2019,they were randomly divided into the two groups.48 cases in the control group were given inhalation anesthesia,54 cases in the observation group were given intravenous anesthesia.The relative indexes of the two groups were compared.Results:The incidence of adverse cardiovascular events such as myocardial infarction,cardiogenic shock,malignant arrhythmia,composite end point,heart failure and sudden cardiac death in the observation group was significantly higher than that in the control group.The recovery time of the observation group was significantly longer than that of the control group,but the MMSE score was significantly lower than that of the control group,the levels of cTnⅠ,CK-MB and myo in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Inhalation anesthesia has less effect on the postoperative cardiac function of elderly patients with coronary artery disease,with low incidence of adverse cardiovascular events,short wake-up time and little damage to cognitive function,so it is preferred.