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[老年患者丙泊酚单次注射诱导时间的比较研究]

[Comparative study of induction time using propofol bolus injection in elderly patients].

作者信息

Miki Satoko, Matsumoto Kappei

机构信息

Division of Anesthesiology, Higashi-Yamato Hospital, Tokyo 207-0014.

出版信息

Masui. 2010 Mar;59(3):369-71.

Abstract

BACKGROUND

We studied the induction time using propofol bolus injection in elderly patients.

METHODS

In 55 patients ranging in ages from 31 to 91, ASA1 or 2, scheduled for surgery under general anesthesia propofol 2 mg x kg(-1) was administered by a bolus injection via iv cannula with 2% lidocaine 0.5 mg x kg(-1). The time to reaching the BIS value of 50 from the administration (t50 second) was compared. Patients were devided to two group: those aged 32-74 year-old (group A) and those aged 75-91 year-old (group B). We compared t50 second and TP between the two groups.

RESULTS

The correlations between t50 second and the age as well as t50 second and TP, were examined. There were significant differences between the two groups in t50 sec and TP. No critical hemodynamic changes were observed during anesthesia induction.

CONCLUSIONS

Prolonged anesthesia induction time was observed with the advancing ages.

摘要

背景

我们研究了老年患者丙泊酚单次注射的诱导时间。

方法

选取55例年龄在31至91岁之间、ASA分级为1或2级、计划行全身麻醉手术的患者,通过静脉套管给予丙泊酚2mg/kg,并给予2%利多卡因0.5mg/kg。比较给药后达到脑电双频指数(BIS)值50的时间(t50秒)。患者分为两组:32至74岁组(A组)和75至91岁组(B组)。比较两组的t50秒和总睡眠时间(TP)。

结果

检验了t50秒与年龄以及t50秒与TP之间的相关性。两组在t50秒和TP方面存在显著差异。麻醉诱导期间未观察到严重的血流动力学变化。

结论

随着年龄增长,麻醉诱导时间延长。

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