摘要
目的探讨分析在老年人临床麻醉中使用地氟烷的实际应用效果。方法选取2015年9月至2016年6月在天津总医院实施麻醉的老年患者196例为研究对象,按照随机原则将其分为地氟烷组(n=98)和七氟烷组(n=98)。统计两组患者在进行麻醉苏醒后1、2、3 h后的认知功能变化,同时记录从停药后至BIS值达到90的时间和唤醒时间,数据结果使用SPSS18.0软件进行分析。结果 1术后1 h,地氟烷组麻醉患者术后恢复正常认知功能时间较七氟烷麻醉组患者时间短且差异显著(P<0.05);2两组患者在术后2 h和3 h的认知功能无明显差异(P>0.05);3地氟烷组的麻醉苏醒时间明显比七氟烷组短。结论地氟烷吸入麻醉方法应用于老年患者,临床手术效果满意,安全有效,值得进一步推广。
Objective To study and investigate the effect of desflurane in elderly patients＇ anesthesia. Methods 196 patients admittied in the first hospital of tianjin medical universty from september 2015 to june 2016 were divided into desflurane group （n=98） and sevoflurane gronp （n=98）. In this prospective, blind randomized trial we recorded postoperative. Statistic the changes of regaining consciousness of the two groups 1, 2, 3 hours later. At the end of the surgery, the time reached BIS90 and wake-up time were recorded. Postoperative complications were statistically analyzed with SPSS18.0 respectively. Results （1）One hour after surgery, the time of regaining consciousness in sevoflurane group was longer than that in desflurane group, and the results were statistically significant; （2）Two and three hour later, the time of regaining consciousness were not statistically significant; （3）The recovery times of patients after sevoflurane anethesia prolonged significantly compared with patients after desflurane anesthesia. Conclusion As the anesthetic agents chosen in elderly patients, desflurane is better than sevoflurane, and it is worthy of further promotion.
出处
《中国医药指南》
2016年第34期6-7,共2页
Guide of China Medicine
关键词
地氟烷
七氟烷
老年患者
麻醉
Desflurane
Sevoflurane
Elderly patients
Anesthesia
