瑞芬太尼在老年高血压腹部肿瘤患者麻醉中的应用

Application of remifentanil in anaesthesia of elderly patients with hypertensive abdominal tumor

目的观察对老年高血压腹部肿瘤患者实施瑞芬太尼的麻醉效果。方法 50例研究对象均选自本院2016-1-2017-5接收的老年高血压腹部肿瘤患者,将其按照不同麻醉方式分为观察组和对照组。对照组采取芬太尼麻醉,观察组采取瑞芬太尼麻醉。对比两组患者麻醉时血压和心率状况。结果两组患者在进入手术室时、麻醉诱导2min时的心率、平均动脉压均无明显变化(P>0.05),而观察组在拔管时、探查时、手术完成10min后的心率和平均动脉压方面,差异有统计学意义(P<0.05)。观察组乌拉地尔和麻黄素的使用率为4.0%,明显低于对照组的52.0%,差异统计学有意义(P<0.05)。结论对老年高血压腹部肿瘤患者实施瑞芬太尼进行麻醉,具有较好的镇痛、镇静作用,可保证患者的血压心率稳定,为手术良好完成奠定坚实基础。

OBJECTIVE To observe the anesthetic effect of remifentanil on elderly patients with hypertensive abdominal tumor.They were divided into observation group and control group according to different anesthetic.METHODSThe control group was anesthetized with fentanyl,and the observation group was anesthetized with remifentanil.The blood pressure and heart rate during anesthesia were compared between the two groups.RESULTS There was no significant change in heart rate and mean arterial pressure at 2 min after anesthesia induction(P>0.05).Heart rate and mean arterial pressure were measured 10 minutes after operation.The difference was statistically significant(P<0.05).The utilization rate of urapidil and ephedrine in the observation group was 4.0,which was significantly lower than that in the control group(52.0,P <0.05).CONCLUSIONS Anesthesia of remifentanil is performed in elderly patients with hypertensive abdominal tumor.It has good analgesic and sedative effect,which can ensure stable blood pressure and heart rate,and lay a solid foundation for successful operation.