【摘要】目的：分析与比较老年心脏病患者行非心脏手术的麻醉诱导期应用依托咪酯和丙泊酚的效果。方法：选取2022年4月—2023年4月本院行非心脏手术的60例老年心脏病患者，随机将其分为对照组和观察组，观察组采用依托咪酯联合芬太尼进行麻醉诱导，对照组采用丙泊酚联合芬太尼进行麻醉诱导。比较两组患者术后苏醒状况、不同时段的各项血流动力学指标、不良反应及血管活性药物使用情况。结果：相较于对照组，观察组术后恢复自主呼吸时间、拔管时间及苏醒时间均更短(P<0.05)；相较于对照组，观察组给药后3min(T2)及插管时(T3)各项血流动力学指标均显著更优(P<0.05)；相较于对照组，观察组的不良反应发生率及血管活性药物使用率均更低(P<0.05)。结论：采用依托咪酯对行非心脏手术的老年心脏病患者进行麻醉诱导的效果更为显著，值得推广。

    【关键词】老年心脏病；行非心脏手术；麻醉诱导期；依托咪酯；丙泊酚

    To compare the effects of etomidate and propofol during anesthesia induction in elderly patients with heart disease undergoing non-cardiac surgery

    WU Guangxiang

    Department of Anesthesiology， Cao County People’s Hospital， Heze， Shandong 274400， China

    【Abstract】Objective：To analyze and compare the effects of etomidate and propofol during anesthesia induction in elderly patients with heart disease undergoing non-cardiac surgery.Methods：A total of 60 elderly patients with heart disease who underwent non-cardiac surgery in our hospital from April 2022to April2023 were selected and randomly divided into the control group and the observation group.The observation group received anesthesia induction with etomidate combined with fentanyl ......