The analysis of induction,maintenance and recovery characteristics between general anesthesia and spinal an-esthesia in elderly patients
10.3760/cma.j.issn.1008-6706.2014.21.030
- VernacularTitle:老年患者全身麻醉和脊柱麻醉后的诱导、维持和复苏特性分析
- Author:
Fei HE
- Publication Type:Journal Article
- Keywords:
Anesthesia,General;
Anesthesia,Spinal;
Desflurane;
Isoflurane;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(21):3278-3281
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare three methods of general anesthesia and spinal anesthesia in elderly patients with induction and recovery characteristics.Methods 100 patients undergoing urethral operation patients over 60 years were used to test.According to the different anesthesia methods,they were divided into propofol and propofol ( P-P) ,propofol,isoflurane,desflurane and propofol ( P-I)-( P-D) cases,each group in 25 cases,by ventani (1-2μg/kg IV) and propofol (1.0-2.0mg/kg IV) induced anesthesia respectively,and with 70% N2 O oxygen and injection of propofol [75-150μg/(kg· min)] or isoflurane[0.7%-1.2% of desflurane (breath) or breath 1%-4%] ,maintain anesthesia.After induction they were went on with laryngeal mask ventilation, maintain autonomous breathing.In the spinal anesthesia group(S),1.5 lidocaine ML were intrathecal injection by dissolved in 10%glucose. Results To compared with spinal anesthesia (9.3 ±3.4) min,propofol induced anesthesia method was relatively simple and induce faster (P<0.01).P-P,P-I and P-D group anesthesia induction time was (4.6 ±1.7)min,(4.7 ± 2.2)min and (3.8 ±1.4)min.In the induction period,patients in group S were higher aortic pressure and heart rate. 3 general anesthesia patients were similar to the time in induction of anesthesia,extubation and orientation patients in group S were lower(P<0.05),but the recovery was longer (P<0.01).The P-P and P-D group,Digit Symbol Sub-stitution Test( DSST) scores returned to baseline levels of time slightly shorter than that of group P-I.patients with dif-ferent methods of anesthesia had the same with postoperative nausea, somnolence, anxiety and coordination. Conclusion Induction and recovery time can be shortened in the elderly patients by using propofol and desflurane has no side effects.Therefore this method is suitable for elderly patients with transurethral operation using.
