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目的 比较瑞芬太尼与芬太尼在老年患者手术麻醉中的应用效果.方法 选择医院2014年2月-2016年2月收治的老年手术患者200例,将其随机分为2组,每组100例.试验组给予瑞芬太尼静脉麻醉,对照组给予芬太尼静脉麻醉,比较2组患者的麻醉效果和安全性.结果 试验组呼吸恢复时间、术后睁眼时间、定向力恢复时间均短于对照组,差异有统计学意义(P<0.05),麻醉不良反应发生率为18.0%显著低于对照组的34.0%,差异均有统计学意义(P<0.05).结论 瑞芬太尼用于老年患者手术术后恢复快,能够大力减少应激反应,血流动力学更稳定,术后苏醒快,有较高的安全性,能够有效提高患者的生活质量,值得临床推广应用.“,”Objective To compared the clinical effect of remifentanil and fentanyl in surgical anesthesia of elderly patients.Methods Selected 200 cases patients with elderly surgery patients from February 2014 to February 2016.200 cases patients were randomly divided into test group and control group,each group of 100 cases.Test group was treated by remifentanil intravenous anesthesia,control group was treated by fentanyl intravenous anesthesia,compared the anesthesia effect and safety of 2 groups.Results The respiratory recovery time,postoperative time to open eyes,directional force recovery time were shorter than that of control group,the difference was statistic significantly(P<0.05).The adverse reaction rate of test group(18.0%) was lower than that of control group(34.0%),the difference was statistic significantly(P<0.05).Conclusion Remifentanil in elderly patients with surgery with postoperative recovery soon,can significantly reduce the stress response,hemodynamics is more stable,quick recovery after surgery,have a higher security,can effectively improve the quality of life of patients,worthy of clinical application.