Objective: To observe the effect of combined anesthesia of remifentanil and sevoflurane in elderly patients undergoing laparoscopic surgery. Methods: A total of 90 elderly patients undergoing laparoscopic surgery in our hospital from January 2019 to June 2020 were selected and divided into control group (
n=45) and observation group (
n=45) according to random number table method.The control group was anesthetised with remifentanil, and the observation group was anesthetised with combined sevoflurane and remifentanil.SOMCT score, Steward resuscitation score, extubation, resuscitation time and adverse reactions were compared between the two groups at each time point. Results: The comparison of SOMCT scores at 1h and 3h after extubation between the two groups showed that the observation group was better than the control group (
P<0.05), which was statistically significant.Comparison of Steward recovery scores at extubation and 15min extubation between the two groups showed that the observation group was better than the control group (
P<0.05), which was statistically significant.The comparison of extubation and recovery time between the two groups showed that the observation group was better than the control group (
P<0.05), which had statistical value. Comparison of adverse reaction rate between the two groups showed that observation group was better than control group (
P<0.05), which was statistically significant. Conclusion: Combined anesthesia of sevoflurane and Remifentanil has a significant effect on postoperative short-term cognitive function in elderly patients undergoing laparoscopic surgery.In other words, it has little influence on postoperative short-term cognitive function, can improve the quality of recovery, and promote postoperative recovery of patients with fewer adverse reactions. Therefore, it is worth promoting research.
Key words
old age/laparoscopic surgery/sevoflurane/remifentanil/compound anesthesia/cognitive function
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