首页|艾司氯胺酮复合瑞马唑仑在老年患者全身麻醉诱导中的应用探究

艾司氯胺酮复合瑞马唑仑在老年患者全身麻醉诱导中的应用探究

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目的 探究在老年患者全身麻醉诱导中应用艾司氯胺酮复合瑞马唑仑的效果。方法 选取2023年1—4月本院收治的60例行全身麻醉诱导老年患者作为研究对象,并根据麻醉方案的不同将其分成对照组和观察组,每组30例。其中,对照组实施咪达唑仑复合丙泊酚方式,观察组实施艾司氯胺酮复合瑞马唑仑方式,对两组血流动力学指标进行比较,包括心率(HR)、收缩压(SBP)及舒张压(DBP);同时比较两组的不良反应情况。结果 两组对比血流动力学指标,和麻醉前比较,两组HR、SBP、DBP均呈现先降低后升高趋势,插管前以及插管3min后观察组均低于对照组,并且观察组波动幅度小于对照组(P<0。05)。两组对比不良反应发生率,观察组低于对照组,但差异不明显无统计学意义(P>0。05)。结论 在对老年患者行全身麻醉诱导时,给予艾司氯胺酮复合瑞马唑仑,效果较为显著,能够稳定血流动力学,安全性高,在临床麻醉诱导方案中值得大范围推广与实施。
Application of Exploration Esketamine Combined with Rimazolen in Induction of General Anesthesia of Elderly Patients
Objective To explore the effect of esketamine combined with rimazolen in induction of general anesthesia of elderly patients. Methods The experiment chose 60 elderly patients with general anesthesia induction in our hospital from January 2023 to April 2023 as data analysis objects,and divided them into the control group and the observation group based on different anesthesia schemes,with 30 cases in each group. The control group was treated with midazolam combined with propofol,while the observation group with esketamine combined with rimazolen. The hemodynamic indicators were compared between two groups,including heart rate (HR),systolic blood pressure (SBP),and diastolic blood pressure (DBP). Adverse reactions were compared between two groups. Results The hemodynamic indicators of HR,SBP,and DBP in two groups showed a trend of decreasing,then increasing. Those before and 3 minutes after intubation in the observation group were lower than the control group,the fluctuation amplitude of the observation group was lower than the control group,with significant difference (P<0.05). Incidence of adverse reactions in the observation group was lower than the control group,difference was not significant (P>0.05). Conclusion Combination of esketamine and rimazolen can achieve significant effect for elderly patients with general anesthesia induction,can stabilize hemodynamics with high safety,which is worthy of widespread promotion and application in clinical anesthesia induction schemes.

EsketamineRimazolenElderlyGeneral anesthesia inductionHemodynamics

王超

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南京市江宁中医院麻醉科,江苏 南京 211100

艾司氯胺酮 瑞马唑仑 老年 全身麻醉诱导 血流动力学

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(29)