首页|瑞马唑仑复合瑞芬太尼对老年脑梗死患者术中生命体征及术后认知功能的影响

瑞马唑仑复合瑞芬太尼对老年脑梗死患者术中生命体征及术后认知功能的影响

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目的:探讨瑞马唑仑复合瑞芬太尼对老年脑梗死患者术中生命体征及术后认知功能的影响。方法:选取 2022年 6月—2024年 6月于巨野县人民医院接受手术治疗的 60例老年脑梗死患者为研究对象,采用随机数字表法分为对照组及研究组,各 30例。对照组采用丙泊酚麻醉,研究组采用瑞马唑仑复合瑞芬太尼麻醉。对比两组患者的术中生命体征及认知功能。结果:诱导后 5 min、手术开始 10 min、清醒时,研究组的心率、血氧饱和度及血压水平均较对照组平稳,差异均有统计学意义(P<0。05)。术后 2、24、48 h,研究组的简易智能精神状态检查量表评分均高于对照组,差异均有统计学意义(P<0。05)。结论:瑞马唑仑复合瑞芬太尼在老年脑梗死患者手术中的麻醉效果优于丙泊酚复合瑞芬太尼,能够更平稳地维持患者生命体征,且对其术后认知功能的影响更小。
Effect of Remimazolam Compounded with Remifentanil on Operative Vital Signs and Postoperative Cognitive Function in Elderly Patients with Cerebral Infarction
Objective:To investigate the effects of Remimazolam combined with Remifentanil on operative vital signs and postoperative cognitive function in elderly patients with cerebral infarction.Methods:A total of 60 elderly patients with cerebral infarction who received surgery in Juye County People's Hospital from June 2022 to June 2024 were selected as the study objects and were divided into a control group and a study group by random number table method,with 30 cases in each group.The control group was anesthetized with Propofol,the study group was anesthetized with remazolam combined with remifentanil.The operative vital signs and cognitive function of the two groups were compared.Results:At 5 min after induction,10 min after surgery and after waking up,the heart rates,blood oxygen saturations and blood pressures of the study group were more stable than those of the control group,the differences were statistically significant(P<0.05).At 2,24 and 48 h after operation,the Mini-Mental State Examination scores of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Remimazolam combined with Remifentanil has a better anesthetic effect than propofol combined with remifentanil in the surgery of elderly patients with cerebral infarction,which can maintain patients'vital signs more stably and has less influence on their postoperative cognitive function.

Senile cerebral infarctionPropofolRemimazolamRemifentanilVital signsCognitive function

姚娟

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山东省巨野县人民医院麻醉科,山东 荷泽 274000

老年脑梗死 丙泊酚 瑞马唑仑 瑞芬太尼 生命体征 认知功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)