摘要
目的研究舒芬太尼在老年患者全麻诱导中对血液动力学的影响。方法择期全麻下手术治疗的老年患者40例,随机分为两组,每组20例。观察组诱导时加用舒芬太尼,对照组则加用芬太尼。分别记录麻醉前(T0)、插管时(T1)、插管后2min(T2)、5min(T3)、10min(T4)各时点的平均动脉压(MAP)、心率(HR)、心输出量(CO)及心脏指数(CI)。结果MAP、CO、CI在T2、T3、T4时点观察组较对照组低(P<0.05),HR在T3、T4时点观察组较对照组低(P<0.05),而观察组的MAP、CO、CI、HR在组内T0与T2、T3、T4时点比差异无显著意义。结论舒芬太尼在老年患者全麻诱导过程中不但对MAP、CO、CI、HR等血液动力学指标无影响,而且能更好地保持循环系统的稳定。
Objective To study the effects of sufentanyl on the hemodynamics during induction of general anesthesia in geriatrics. Methods Forty surgical geriatrics under general anesthesia were divided into two groups randomly with 20 cases each. Sufentanyl was used for anesthesia induction in experiment group and fentanyl was used for induction in control group. MAP, HR, CO and CI wererecorded at the time points of before anesthesia（T0）, during intubation （T2）, at 2 rain （T2）, 5 min（T3）, 10 min after intubation（T4）. Results The MAP, CO, CI in experiment group were significantly lower than those in control group at T2, T3, T4 （P〈0. 05）. HR of experiment group was slower than that of control group at T3, T4 （P〈0. 05）. There were no significant differences of the values of MAP, CO, CI at T0 ,T2 , T3 and T4 in the group. Conclusion The hemodynamics can be kept stable during induction of general anesthesia with sufentanyl.
出处
《临床麻醉学杂志》
CAS
CSCD
2005年第8期525-526,共2页
Journal of Clinical Anesthesiology
