局解手术学杂志2024，Vol.33Issue(12)：1044-1047,4.DOI:10.11659/jjssx.11E023141
不同七氟烷洗脱方法对髋关节置换老年肥胖患者苏醒质量及认知功能的影响
Effects of different sevoflurane elution methods on awakening quality and cognitive function of elderly obese patients undergoing hip joint replacement
摘要
Abstract
Objective To explore the effects of different sevoflurane elution methods on awakening quality and cognitive function of elderly obese patients undergoing hip joint replacement.Methods A total of 90 elderly obese patients underwent hip joint replacement under intravenous inhalation combined with general anesthesia and maintained anesthesia with sevoflurane during surgery were selected as the research subjects,and randomly divided into group A and group B,and sevoflurane was eluted by closed elution method and decreasing concentration elution method,respectively.The concentration of sevoflurane exhaled and cognitive function scores at different time points of patients between the two groups were compared,and the awakening quality and the occurrence of adverse reactions during the awakening period of patients between the two groups were compared.Results At the end of the surgery,the concentration of sevoflurane exhaled by patients in group B was significantly lower than that in group A(P<0.05),and the recovery time,awakening time,tracheal extubation time,and anesthesia recovery room stay time of patients in group B were significantly shorter than those in group A(P<0.05).The incidence of agitation during the awakening period of patients in group B was significantly lower than that in group A(P<0.05),and the cognitive function score at the time of 2 hours after awakening of patients in group A was significantly lower than that in group B(P<0.05).Conclusion For elderly obese patients undergoing hip joint replacement with intravenous inhalation combined with general anesthesia,sevoflurane can be eluted by decreasing concentration elution method before the end of surgery,and the patient wakes up smoothly and in a shorter time,with fewer adverse reactions and less impact on postoperative cognitive function.关键词
七氟烷/洗脱方法/老年患者/肥胖/苏醒质量/认知功能Key words
sevoflurane/elution method/elderly patients/obesity/awakening quality/cognitive function分类
医药卫生引用本文复制引用
陈铁胜,田振,郝红旗,仲华娟,戴体俊..不同七氟烷洗脱方法对髋关节置换老年肥胖患者苏醒质量及认知功能的影响[J].局解手术学杂志,2024,33(12):1044-1047,4.基金项目
国家自然科学基金(30872432) （30872432）
江苏省宿迁市科技指导计划(Z2019179) （Z2019179）
