舒芬太尼与芬太尼麻醉对老年腹腔镜胆囊切除术患者血流动力学的影响分析

目的分析舒芬太尼与芬太尼麻醉对老年腹腔镜胆囊切除术（LC）过程中患者的血压（舒张压DBP、收缩压SBP）、心率（HR）的影响。方法舒芬太尼组和芬太尼组各64例分别应用舒芬太尼和芬太尼联合瑞芬太尼和丙泊酚实施麻醉手术。结果T1、T2、T3、T4阶段舒芬太尼组患者的DBP及SBP值明显低于芬太尼组（P〈0．05）；但麻醉后舒芬太尼组患者的血压变化较芬太尼组更稳定；各阶段两组患者HR比较也无显著差异（P〉0．05）。结论舒芬太尼较芬太尼具有更好的血压稳定性，能够稳定心血管系统的生理功能，非常适用于老年LC患者的临床麻醉。

Hemodynamics Affection Analysis of Sufentanil Compared with Fentanyl Anesthetizing in Elderly Laparoscopic Cholecystectomy Patients

Objective To analyze the affection of blood pressure （ DBP, SBP ） and heart rate （ HR ） using sufentanil compared with fentanyl anesthetizing in elderly laparoscopic cholecystectomy （ LC ） patients. Methods Sufentanil Group with 64 cases and Fentanyl Group with 64 cases were separately applied sufentanil or fentanyl for anesthesia. Results The DBP and SBP in T1, T2, T3 and T4 with Sufentanil Group were significantly lower than Fentanyl Group （ P 〈 0.05 ）, but the Sufentanil Group had a more stable blood pressure compared with Fentanyl Group. The different stages had no significantly difference in HR between two groups （ P 〉 0.05 ）. Conclusion Sufentanil had a better stability blood pressure compared with fentanyl, which could stable physiological function of the cardiovascular system. It is benefit for elderly LC patients in anesthesia.