重庆医学2011，Vol.40Issue(3)：266-268,3.DOI:10.3969/j.issn.1671-8348.2011.03.024
靶控输注瑞芬太尼复合七氟醚吸入麻醉用于老年肿瘤患者的临床评价
Evaluation of target controlled infusion of remifentanil combined with sevoflurane or with propofol of target controlled infusion in the elderly patients with tumor
摘要
Abstract
Objective To study the effects of target controlled infusion(TCI)of remifentanil combined with sevoflurane or with propofol of target controlled infusion in the elderly patients with tumor on anesthetic outcome and post anesthetic recovery. Methods 96 patients aged 65-80,ASA physical status Ⅰ-Ⅱ ,scheduled for gastrectomy or rectal surgery was randomly allocated to either sevofluane(S,n=48) or propofol(P,n=48) group. The following data were recorded and analyzed: the bispectral index(BIS),the time of eyes opening and extubation, blood pressure(BP) and heart rate (HR) before anesthesia (T0), the beginning (T1) and end of surgery(T2 ), and the time point of extubation(T3). The rate pressure product(RPP)at each measuring time point was calculated. Results In the same depth of anesthesia which bispectral index(BIS)controlled 40-60,there were no significant differences in BP, HR and RPP at every time point observed between the two groups(P＞0.05). Compared with group P,eyes opening time and extu bation time were significantly decreaed in group S(P＜0.05). Conclusion It is safe that target controlled infusion(TCI)of remifen tanil combined with sevoflurane or with propofol applicated in the elderly patients with tumor. Myocardial ischemia do not occur in the depth of anesthesia. And the faster wake up are found in group S compared with group P.关键词
麻醉/靶控输注/瑞芬太尼/七氟醚/丙泊酚/老年肿瘤患者Key words
anesthesia/ target controlled infusion/ remifentanil/ sevoflurane/ propofol/ the elderly patients with tumor引用本文复制引用
熊章荣,蒋燕,邓永乐,唐延先..靶控输注瑞芬太尼复合七氟醚吸入麻醉用于老年肿瘤患者的临床评价[J].重庆医学,2011,40(3):266-268,3.
