瑞芬太尼与舒芬太尼对老年腹腔镜直肠癌根治术患者围术期血流动力学影响的比较研究

目的 探讨瑞芬太尼和舒芬太尼对行腹腔镜直肠癌根治术的老年患者围术期血流动力学的影响.方法 选取2019年9月—2020年6月在北部战区总医院行直肠癌根治术的老年患者40例,随机分为Ⅰ组和Ⅱ组各20例.Ⅰ组给予七氟烷联合瑞芬太尼麻醉,Ⅱ组给予七氟烷联合舒芬太尼麻醉.观察比较两组围术期各时间点脑电双频指数、血压、心率,以及...

A Comparative Study of the Effects of Remifentanil and Sufentanil on Perioperative Hemodynamics in Elderly Patients Undergoing Laparoscopic Radical Resection of Rectal Cancer

Objective To investigate the effects of remifentanil and sufentanil on perioperative hemodynamics in elderly patients undergoing laparoscopic radical resection of rectal cancer.Methods A total of 40 elderly patients undergoing laparoscopic radical resection of rectal cancer in General Hospital of Northem Theater Command from September of 2019 to June of 2020 were randomly divided into group Ⅰ and group 11 with 20 cases in each group.Group I was given sevoflurane combined with remifentanil anesthesia,group Ⅱ was given sevoflurane combined with sufentanil anesthesia.The bispectral index(BIS),blood pressure(BP),heart rate(HR)during the perioperative,and anesthesia recovery period were compared between the two groups.Results The BP and HR were increased in the two groups after pneumoperitoneum.The BP in group Ⅰ was significantly higher than group Ⅱ at 5 minutes after pneumoperitoneum(P<0.05).The BP and HR of the two groups were higher than those before operation at 5 minutes after extubation,and the BP and HR of group Ⅰ were significantly higher than that of group Ⅱ(P<0.05).There was no significant difference in BIS between the two groups at different time points(P>0.05).The recovery time of spontaneous breathing and extubation time in group Ⅱ were significantly longer than those in group I(P<0.05).There was no significant difference in end-tidal PaC02 between the two groups before and after pneumoperitoneum(P>0.05).Conclusion Remifentanil and sufentanil can meet the anesthesia requirements of elderly patients undergoing laparoscopic radical resection of rectal cancer,and sufentanil has less influence on perioperative hemodynamics,which is more conducive to the maintenance of anesthesia and postoperative recovery in elderly patients.