首页|苯磺酸瑞马唑仑复合阿芬太尼在老年患者无痛可弯曲支气管镜诊疗中的麻醉效果分析

苯磺酸瑞马唑仑复合阿芬太尼在老年患者无痛可弯曲支气管镜诊疗中的麻醉效果分析

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目的 评析在老年患者无痛可弯曲支气管镜诊疗中,采用苯磺酸瑞马唑仑复合阿芬太尼的麻醉效果.方法 选择 100 例接受无痛可弯曲支气管镜诊疗的老年患者,根据随机数字表法分为对照组及观察组,每组 50 例.对照组采用咪达唑仑复合阿芬太尼进行麻醉,观察组采用苯磺酸瑞马唑仑复合阿芬太尼进行麻醉.比较两组患者的术中镇静成功率,检查时间、恢复时间、术中输注液体量,术中和术后不良事件发生率.结果 观察组的术中镇静成功率为 98.00%(49/50),与对照组的 96.00%(48/50)比较无明显差异(χ2=0.3436,P=0.5577>0.05).观察组患者的恢复时间(3.99±0.34)min短于对照组的(4.34±0.38)min,存在统计学意义(P<0.05).观察组的检查时间短于对照组、术中输注液体量少于对照组,但比较无明显差异(P>0.05).观察组术中和术后不良事件发生率分别为 2.00%、2.00%,低于对照组的 16.00%、20.00%,存在统计学意义(P<0.05).结论 老年患者无痛可弯曲支气管镜诊疗中采用苯磺酸瑞马唑仑复合阿芬太尼的临床麻醉效果较好,有利于降低患者不良事件发生率,值得推广.
Analysis of anaesthesia effect of remimazolam besylate combined with alfentanil in painless and flexible bronchoscopy in elderly patients
Objective To evaluate the anaesthesia effect of remimazolam besylate combined with alfentanil in painless and flexible bronchoscopy in elderly patients.Methods A total of 100 elderly patients receiving painless and flexible bronchoscopy were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was anesthetized with midazolam and alfentanil,and the observation group was anesthetized with remimazolam besylateand alfentanil.The success rate of intraoperative sedation,examination time,recovery time,intraoperative fluid infusion,and incidence of intraoperative and postoperative adverse events were compared between the two groups.Results The success rate of intraoperative sedation in the observation group was 98.00%(49/50),and there was no significant difference when compared with 96.00%(48/50)in the control group(χ2=0.3436,P=0.5577>0.05).The recovery time of(3.99±0.34)min in the observation group was shorter than(4.34±0.38)min in the control group,and there was statistical significance(P<0.05).The examination time of the observation group was shorter than that of the control group,and the intraoperative fluid infusion was less than that of the control group,but there was no significant difference(P>0.05).The incidence of intraoperative and postoperative adverse events in the observation group were 2.00%and 2.00%,which was lower than 16.00%and 20.00%in the control group,and there was statistical significance(P<0.05).Conclusion Remimazolam besylate combined with alfentanil has good clinical anesthesia effect in painless and flexible bronchoscopy in elderly patients,which is conducive to reducing the incidence of adverse events in patients,and is worthy of promotion.

Remimazolam besylateAlfentanilElderly patientsPainless and flexible bronchoscopyDiagnosis and treatment

赵成龙、赵瑞雪、刘恒明、陈萃

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252100 山东省聊城市茌平区人民医院麻醉科

苯磺酸瑞马唑仑 阿芬太尼 老年患者 无痛可弯曲支气管镜 诊疗

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(18)