摘要
目的 探究瑞马唑仑联合瑞芬太尼麻醉在老年患者无痛胃肠镜检查中的应用效果。方法 本次研究的时间为2024年6月份至2025年6月份，患者100例，平均分为对照组和实验组，每组50例。对照组：丙泊酚联合瑞芬太尼；实验组：瑞马唑仑联合瑞芬太尼，对比两组患者的麻醉指标、血流动力学指标、认知功能。结果 实验组患者的麻醉指标优于对照组，p<0.05，血流动力学指标，实验组优于对照组，p<0.05，实验组认知功能更佳，p<0.05。结论 对老年患者行无痛胃肠镜检查过程中使用瑞马唑仑联合瑞芬太尼麻醉，可以改善患者的麻醉状态，稳定血流动力学指标，减轻对患者认知功能的影响。
关键词： 瑞马唑仑；瑞芬太尼麻醉；老年患者；无痛胃肠镜检查；应用效果
Abstract
Objective To explore the application effect of remimazolam combined with remifentanil anesthesia in painless gastroscopy and colonoscopy for elderly patients. Methods The study period was from June 2024 to June 2025. There were 100 patients, they were evenly divided into a control group and an experimental group, with 50 cases in each group. The control group consisted of propofol combined with remifentanil. Experimental group: Remimazolam combined with remifentanil. The anesthesia indicators, hemodynamic parameters, and cognitive function were compared between the two groups.. Results The anesthesia indicators of the patients in the experimental group were better than those in the control group, p<0.05. The hemodynamic indicators of the experimental group were better than those of the control group, p<0.05. The cognitive function of the experimental group was better, p<0.05. Conclusion The use of remimazolam combined with remifentanil for anesthesia during painless gastroscopy and colonoscopy in elderly patients can improve the anesthesia status of patients, stabilize hemodynamic indicators, and reduce the impact on patients' cognitive function.
Key words： Remimazolam; Remifentanil anesthesia; Elderly patients; Painless gastroscopy and colonoscopy; Application effect
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