Original Article
Effect of different methods of anesthesia maintenance on clinical efficacy and postoperative recovery in elderly patients with gynecological diseases undergoing laparoscopic surgery
Ruidong Zhang, Shaojun Zhu, Fei Huang
Published 2017-09-14
Cite as Chin J Geriatr, 2017, 36(9): 995-999. DOI: 10.3760/cma.j.issn.0254-9026.2017.09.014
Abstract
ObjectiveTo analyze the effect of different methods of anesthesia maintenance on clinical efficacy and postoperative recovery in elderly patients with gynecological diseases undergoing laparoscopic surgery.
MethodsA total of 80 elderly patients with gynecological diseases scheduled for laparoscopic surgery were enrolled in this study in our hospital from January 2015 to December 2016.All the patients were randomly divided into two groups of anesthesia maintenance: an intravenous anesthesia alone (n=40) and a combined intravenous and inhaled anesthesia (n=40). The pre-and post-anesthesia changes in arterial blood gas, blood pressure, heart rate and cognitive function, and postoperative complications were analyzed and compared between the two groups.
ResultsThere were no significant differences between the two groups in the times of palinesthesia, extubation and talking (all P> 0.05). After anesthesia, the levels of arterial blood gas, the blood pressure and the heart rate were relatively stable in both groups, and their differences between the two groups were without statistically significant (all P> 0.05). While, the postoperative cognitive function recovered more rapidly in patients receiving intravenous anesthesia alone for anesthesia maintenance than in those receiving a combined intravenous and inhaled anesthesia, especially at 6 h after extubation.The Mini-mental State Examination (MMSE) score was significantly higher in patients receiving intravenous anesthesia alone (28.8±0.5) than in patients receiving a combined intravenous and inhaled anesthesia (25.1±0.6), with statistically significant difference (P< 0.05). In addition, there was no statistical difference between the two groups in the incidence of complications.
ConclusionsAs anesthesia maintenance, both an intravenous anesthesia alone and a combined intravenous and inhaled anesthesia can ensure a successfully laparoscopic surgery for gynecological diseases in elderly patients.However, the impact on cognitive function after laparoscopic surgery is smaller in the maintenance of intravenous anesthesia alone than in a combined intravenous and inhaled anesthesia in elderly patients.Intravenous anesthesia alone can be used in elderly patients to receive laparoscopic surgery as routine anesthesia maintenance.
Key words:
Gynecological diseases; Laparoscopic surgery; Anesthesia maintenance; Cognitive function
Contributor Information
Ruidong Zhang
Department of Anesthesiology, Zhoushan Maternal and Child Care Service Centre, Zhoushan, 316000, China
Shaojun Zhu
Department of Anesthesiology, Zhoushan Maternal and Child Care Service Centre, Zhoushan, 316000, China
Fei Huang
Department of Gynecology, Zhoushan Maternal and Child Care Service Centre, Zhoushan 316000, China
