摘要
目的:探讨麻醉方式和麻醉药物在老年患者手术治疗中的应用效果,进而为手术麻醉方案的制定提供参考依据。方法:检索文献数据库,收集有关老年患者麻醉方式和麻醉药物应用的临床报道和资料文献,结合临床工作实际,针对各种麻醉方式及各类麻醉药物的临床应用进行分析,了解在不同麻醉方式和麻醉药物的作用机制,评价其在疗效和安全性方面的优势作用。结果:在知网、万方、维普国家科技图书文献中心等文献数据库中,对2009至2019年期间发表的关于老年患者麻醉方式和麻醉药物研究的文献进行检索,在检索到相关文献中,以麻醉方式、麻醉药物、手术治疗、老年患者作为关键词,组合查询,筛选出有效文献15篇,作为本组研究的参考资料,分析全身麻醉、硬膜外麻醉、腰麻以及硬膜外麻醉在老年患者手术中的应用效果。结论:关于老年患者麻醉方式和麻醉药物的选择,应该从患者的实际情况出发,根据手术治疗的需要,制定安全可行的治疗方案。全身麻醉联合硬膜外麻醉、腰硬联合麻醉的应用,加强老年手术患者的麻醉管理,可以有效提升手术麻醉用药安全性和有效性。
Objective:To explore the anesthesia mode and the application effect of anesthesia drugs in the operation of elderly patients,so as to provide reference for the formulation of the operation anesthesia program.Methods:To search the literature database,collect the clinical reports and literature about the anesthesia methods and the use of narcotic drugs in the elderly patients,analyze the clinical application of various anesthesia methods and narcotic drugs,understand the mechanism of different anesthesia methods and narcotic drugs,and evaluate their advantages in efficacy and safety.Results:In the literature databases of HowNet,Wanfang,and VIP National Science and Technology Library,the literatures on anesthesia mode and narcotic drugs of elderly patients published in 2009-2019 were searched.Among the literatures,anesthesia mode,narcotic drugs,surgical treatment and elderly patients were used as key words,and 15 effective literatures were selected,As the reference materials of this study,the application effects of general anesthesia,epidural anesthesia,lumbar anesthesia and epidural anesthesia in elderly patients were analyzed.Conclusion:The choice of anesthesia methods and anesthetic drugs for the elderly patients should be based on the actual situation of the patients,according to the needs of surgical treatment,to develop a safe and feasible treatment plan.The application of general anesthesia combined with epidural anesthesia and combined spinal and epidural anesthesia can effectively improve the safety and effectiveness of anesthesia.
作者
仲显刚
ZHONG Xian-gang(Department of Anesthesiology,Wuqing District Hospital of Traditional Chinese Medicine,Tianjin 301700,China)
出处
《药品评价》
CAS
2020年第4期27-29,共3页
Drug Evaluation
关键词
老年患者
麻醉方式
麻醉药物
Elderly Patients
Anesthesia Mode
Anesthetics
