摘要
不同的全身麻醉方式和药物选择对机体的影响存在差异,老年人特殊的生理状态导致其受麻醉的影响较大,合适的麻醉选择可以有效改善预后。七氟烷吸入麻醉和丙泊酚全静脉麻醉是目前常用的两类全身麻醉维持方式,各有不同的优缺点。七氟烷在脏器保护方面存在较大优势,适用于长时间手术。丙泊酚能够在一定程度上改善老年人认知功能障碍,并降低术后恶心呕吐的发生率。在临床麻醉中应根据实际情况进行具体的选择。
Effects of different general anesthesia and drug selections on the body are different.The elderly are in a special physiological state,which leads to greater influence of anesthesia.The appropriate choice of anesthesia can improve the prognosis effectively.Inhalation anesthesia with sevoflurane and total intravenous anesthesia with propofol are two commonly used methods for maintaining general anesthesia.Both of them have different advantages and disadvantages.Sevoflurane has a great advantage in organ protection.It is also suitable for long surgery.Propofol can improve cognitive dysfunction and reduce the incidence of postoperative nausea and vomiting in the elderly to a certain extent.Specific choices should be made according to the actual conditions.
作者
甄灼
王辉
ZHEN Zhuo;FANG Hui(Department of Anesthesiology,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《医学综述》
2018年第11期2259-2263,共5页
Medical Recapitulate
关键词
老年人
七氟烷
丙泊酚
吸入麻醉
全静脉麻醉
Elderly
Sevoflurane
Propofol
Inhalation anesthesia
Total intravenous anesthesia
