摘要
Abstract
Objective:To analyze the effect of local infiltration of Propofol and Remifentanil combined with Ropivacaine on anesthesia in patients undergoing laparoscopic cholecystectomy(LC).Method:A total of 120 patients with LC treated in Yibin Third Traditional Chinese Medicine Hospital from January 2022 to January 2024 were selected as the study objects.Random number table method was used to divide the patients into the reference group and the experimental group,with 60 cases in each group.The reference group was treated with Propofol combined with Fentanyl,and the experimental group was treated with Propofol and Remifentanil combined with Ropivacaine.The effects of recovery,cognitive function and safety of anesthesia between the two groups were observed.Result:The recovery time,consciousness recovery time and extubation time of experimental group were earlier than those of reference group,and the onset time of postoperative pain was later than that of reference group,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in mini-mental state examination(MMSE)scores between the two groups(P>0.05).At 1 h,6 h and 24 h after extubation,MMSE scores of experimental groups were higher than those of reference group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in experimental group was significantly lower than that in reference group,and the difference was statistically significant(P<0.05).Conclusion:Patients undergoing LC with Propofol and Remifentanil combined with Ropivacaine has better recovery effect after local infiltration anesthesia,which can promote postoperative cognitive function recovery of patients and ensure the safety of anesthesia.关键词
丙泊酚/瑞芬太尼/腹腔镜胆囊切除术/麻醉效果/认知功能/麻醉安全性Key words
Propofol/Remifentanil/Laparoscopic cholecystectomy/Anesthesia effect/Cognitive function/Safety of anesthesia
