瑞芬太尼在老年高血压患者腹腔镜胆囊术的作用被引量：3

The effects of remifentanil for hypertension in the elderly implemented laparoscopic gallbladder surgery

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摘要目的探讨瑞芬太尼对腹腔镜胆囊手术老年高血压病人的影响。方法 40例患者随机分为瑞芬太尼组和芬太尼组,记录患者MAP、HR、拔管时间及苏醒评分。结果与B组相比,A组血流动力学较稳定,拔管时间短及苏醒评分高。结论瑞芬太尼在老年高血压腹腔镜胆囊术能维持循环稳定,自主呼吸恢复快,苏醒迅速,减少应激反应。 Objective To explore the influence of remifentanil on laparoscopic gallbladder surgery in older patients with hypertension. Methods 40 patients were randomly divided into remifentanil group and fentanyl group. The MAP,HR,extubation time and wake rating of patients were recorded. Results Compared with group B,A group has more stable hemodynamics,shorter extubation time and higher awake score. Conclusion Used in laparoscopic surgery of old patients with hypertension,Remifentanil maintains loop stability,has faster recovery of spontaneous breathing,wakes quickly,reduces the stress response.

作者官焕春肖代顺孙应中

机构地区重庆市开县人民医院麻醉科

出处《肝胆外科杂志》 2014年第5期368-370,共3页 Journal of Hepatobiliary Surgery

关键词瑞芬太尼高血压老年人腹腔镜胆囊手术血流动力学 remifentanil hypertension laparoscopic operation hemodynamics

分类号 R657.4 [医药卫生—外科学]

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