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目的分析舒芬太尼与芬太尼对老年腹腔镜胆囊切除术患者血流动力学的影响。方法选取2010年10月~2012年10月老年腹腔镜胆囊切除术患者202例，随机分为两组患者，甲组患者100例，采用芬太尼复合静脉麻醉；乙组患者102例，采用舒芬太尼复合静脉麻醉，对比组患者的麻醉效果。结果对比两组患者的给药前舒张压、收缩压和心率，无明显差异性，无统计学意义（P>0.05）。乙组患者的诱导后、插管后、切皮后、关腹舒张压、收缩压、心率均显著优越于甲组患者，差异性明显，具有统计学意义（P<0.05）。两组患者均未发生因麻醉用药导致严重不良反应发生。结论老年腹腔镜胆囊切除术患者采用舒芬太尼复合静脉麻醉对患者血流动力学影响较小，生命体征更为平稳，显著提高患者术中安全性，对老年患者的手术麻醉治疗具有重要的临床价值和意义。“,”Objective: To analyze the hemodynamic ef ect of sufentanil and fentanyl in elderly patients with laparoscopic cholecystectomy. Methods: 202 cases of elderly patients with laparoscopic cholecystectomy between Oct. 2010 and Oct. 2012 were divided radomly into A group (100 cases) and B group (102 cases). A group received fentanyl intravenous anesthesia and B group recived sufentanil intravenous anesthesia. The anesthetic ef ect was compared. Results: The diastolic blood pressure, the systolic blood pressure and the heart rate were compared between the two groups, but there had no significant dif erence, so they were not statistical y significant (P<0.05). The diastolic blood pressure, the systolic blood pressure and the heart rate of the patients after indution, after intubation, after skin incision and the abdomen in the B group were statistical y significant (P<0.05). The patients in the two groups didn't occur any severe adverse reaction caused by the anesthesitic drug. Conclusion: For elderly patients with laparoscopic cholecystectomy, sufentanil intravenous anesthesia has lit le ef ect to the hemodynamics. The vital signs are more stable, and the safty of the surgery is improved. Therfore, it is of great clinical value and significance for the anesthesia of elderly patients.