| 摘要: |
| ［摘要］ 目的 比较不同全麻诱导插管对老年患者循环系统的影响。方法 80例择期手术的老年病人，随机分为两组，I组采用健忘镇痛慢诱导法，Ⅱ组采用静脉快速诱导法，进行气管插管全身麻醉。记录静卧首次(T0)、给药后2 min(T1)、插管前(T2)、插管即刻(T3)、插管后1 min(T4)、插管后3 min(T5)、插管后5 min(T6)的HR、MAP、SpO2，观察不良反应发生情况。结果 T0时两组MAP和HR差异无统计学意义（P>0.05）；与T0时比较，Ⅰ组各时刻MAP和HR差异无统计学意义（P>0.05）；与T0时比较，Ⅱ组T1～2MAP降低（P<0.05）;与T0时比较，Ⅱ组T3～5MAP升高（P<0.05）；与T0时比较，Ⅱ组T2HR降低（P<0.05）;与T0时比较，Ⅱ组T3～5HR升高（P<0.05）；与Ⅰ组比较，Ⅱ组高血压和心动过速增多（P<0.05）。结论 与静脉快诱导相比健忘镇痛慢诱导法用于老年人更为安全，对血流动力学影响小，并发症少。 |
| 关键词: 诱导方法 老年 麻醉 安全性 |
| DOI：10.3969/j.issn.1674-3806.2010.03.05 |
| 分类号:R 614.2 |
| 基金项目: |
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| Safety comparison of different anesthesia induction method for endotracheal intubation general anesthesia in high-risk elderly patients |
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DING Ling-ling,Jin Chao-hai,Zhang Hong,et al.
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The Center of Anesthesia Surgery of the PLA General Hospital of China,Beijing 100853,China
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| Abstract: |
| ［Abstract］ Objective To compare the effects of different anesthesia induction and tracheal intubation on circulatory system in elderly patients.Methods Eighty elderly patients undergoing elective surgery were randomly divided into two groups, Ⅰ group were treated with amnesia induced slow analgesia method;Ⅱ group were treated with intravenous rapid induction method for endotracheal intubation general anesthesia. HR,MAP and SpO2 at repose time(T0), 2min after administration (T1), before intubation (T2), immediate intubation (T3), 1 min after intubation (T4), 3 min after intubation (T5), 5 min after intubation (T6) were recorded. The occurrence of adverse reaction were observed.Results At T0 MAP and HR in the two groups was no significant difference (P>0.05); when compared with T0, MAP and HR at all time inⅠgroup was no significant difference (P>0.05); and compared with T0,MAP at T1～2 in Ⅱ group was lower (P<0.05); when compared with T0, MAP at T3～5 in Ⅱ group was higher (P<0.05); when compared with T0, HR at T2 inⅡ group was lower (P<0.05); and compared with T0, HR at T3～5 inⅡ group was higher (P<0.05); compared with group Ⅰ,incidence of hypertension and tachycardia was higher（P<0.05). Conclusion Compared with the rapid intravenous analgesia amnesia slow-induced analgesia method is more secure in the elderly patients, the impact on hemodynamics is small, with few complications. |
| Key words: Induction method Old Anesthesia Security |
