文章摘要

老年人肌肉松驰药物的临床应用进展

作者: 1朱万莉, 1岳子勇
1 哈尔滨医科大学附属第二医院麻醉科,哈尔滨 150006
通讯: 岳子勇 Email: yueziyong@126.com
DOI: 10.3978/j.issn.2095-6959.2018.10.031
基金: 国家自然科学基金 (30772085)。

摘要

肌肉松驰药(以下简称肌松药)是用于全身麻醉必不可少的组成部分,其对麻醉中气道管理以及提供良好的手术条件都有重要作用。随着人口老龄化,老年人手术日益增多。因老年人特殊的生理和病理变化,肌松药在老年人中的使用更应谨慎。在老年患者中合理使用肌松药对预防术后并发症、提高患者预后具有重要意义。
关键词: 老年人;神经肌肉阻滞;肌肉松驰拮抗;肌肉松驰残余阻滞;肌肉松驰监测

Progress in clinical application of muscle relaxants in the elderly

Authors: 1ZHU Wanli, 1YUE Ziyong
1 Department of Anesthesiology, Second Affiliated Hospital of Harbin Medical University, Harbin 150006, China

CorrespondingAuthor: YUE Ziyong Email: yueziyong@126.com

DOI: 10.3978/j.issn.2095-6959.2018.10.031

Foundation: This work was supported by the National Natural Science Foundation of China (30772085).

Abstract

Neuromuscular blockade is a desirable or even essential component of general anesthesia for airway management during anesthesia and major surgical operations. As the population continues to age, more operations are conducted in the elderly. Due to the characteristic physiological and pathological changes in the elderly, the use of muscle relaxants in the elderly should be more cautious. Consideration must be given to the rational use of muscle relaxants in elderly patients to avoid possible postoperative complications and improve the prognosis of patients.
Keywords: elderly; neuromuscular blockade; muscle relaxant antagonism; residual neuromuscular blockade; neuromuscular monitoring

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