静吸复合麻醉与全凭静脉麻醉对老年妇科腹腔镜手术的作用分析

The Effect of Combined Static and Intravenous Anesthesia With Total Intravenous Anesthesia on Gynecologic Laparoscopic Surgery in the Elderly

目的对比静吸复合麻醉与全凭静脉麻醉在老年妇科腹腔镜手术的作用。方法选取我院妇科收治的行腹腔镜手术老年患者88例作为研究对象。将患者随机分为两组,对照组(44例)采用静吸复合麻醉,观察组(44例)采用全凭静脉麻醉,对比两组患者麻醉效果。结果观察组患者麻醉起效时间、睁眼时间、拔管时间与对照组比较,差异均具有统计学意义(P<0.05);且观察组患者术后认知功能障碍发生率低于对照组,差异具有统计学意义(P<0.05)。结论采用全凭静脉麻醉方式对老年妇科腹腔镜手术患者进行麻醉可取得较为理想的麻醉效果,且术后认知功能障碍发生率低。

Objective To compare the effect of combined intravenous anesthesia with total intravenous anesthesia in gynecologic laparoscopic surgery in the elderly. Methods 88 cases of elderly patients undergoing laparoscopic surgery in our department of gynaecology were selected as the research object. The patients were randomly divided into two groups. The control group （44 cases） received combined static and inhalation anesthesia, while the observation group （44 cases） received total intravenous anesthesia, the effect of anesthesia was compared between the two groups. Results The time of onset of anesthesia, the time of eye opening and the time of extubation were significantly different between the observation group and the control group （P〈0.05）. The incidence of postoperative cognitive dysfunction in the observation group was lower than that in the control group, the difference was statistically significant （P〈0.05）. Conclusion The total intravenous anesthesia in elderly patients with gynecological laparoscopic surgery anesthesia anesthesia can obtain ideal effect, and the incidence of postoperative cognitive dysfunction is low.