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目的 探讨七氟烷和丙泊酚对胃肠肿瘤老年患者血流动力学及苏醒质量的影响.方法 纳入择期行胃肠肿瘤手术的老年患者70例,ASAⅠ-Ⅱ级,年龄≥60岁,体重45-80Kg,随机分为丙泊酚组和七氟烷组,每组35例.记录患者麻醉诱导前(T0)、插管前即刻(T1)、切皮前即刻(T2)、术毕((T3)、拔管后即刻(T4)各时间点的心率(HR)、收缩压(SBP)及舒张压(DBP).记录术毕患者的自主呼吸恢复、唤之睁眼、拔管及定向力恢复时间.结果两组患者各时间点SBP、DBP、HR比较无统计学意义;与丙泊酚组比较,七氟烷组患者术后自主呼吸恢复时间,唤之睁眼时间,拔管时间以及定向力恢复时间缩短(P<0.05),差异有统计学意义.结论丙泊酚和七氟烷麻醉术中均可以维持老年患者血流动力学稳定;与丙泊酚比较,七氟烷麻醉患者术后苏醒较快.,Objective To investigate Effects of sevoflurane and propofol on hemodynamics and recovery quality in elderly patients with gastrointestinal neoplasmsMethods70 elderly patients with ASAⅠ-Ⅱ,aged≥60 years old and weighing 45-80 kg,were randomly divided into propofol group and sevoflurane group(35 cases in each group).Heart rate(HR),systolic blood pressure(SBP)and diastolic pressure(DBP)were recorded before anesthesia induction(T0),immediately before intubation(T1),immediately before skin incision(T2),after operation(T3),immediately after extubation(T4).Record the recovery of the patient’s spontaneous respiration after surgery.Eye,tubing and directional force recovery time.ResultsThere was no significant difference in SBP DBP HR between the two groups at each time point.Compared with propofol group,the recovery time of spontaneous respiration and the time of eye opening in sevoflurane group were not statistically significant.The time of extubation and the recovery time of directional force were shortened(P<0.05),and the difference was statistically significant.Conclusion both propofol and sevoflurane anesthesia can maintain hemodynamic stability in elderly patients,and sevoflurane anesthesia patients wake up faster than propofol.