不同复合麻醉方式对腹腔镜异位妊娠患者术后意识状态和认知功能的影响

目的 比较不同复合麻醉方式对腹腔镜异位妊娠术后意识状态和认知功能的影响.方法 选取2017-2018年绍兴第二医院收治的异位妊娠患者70例均于腹腔镜下实施手术,术前随机分为观察组和对照组各35例,观察组接受咪唑安定+芬太尼+右美托咪定+丙泊酚+维库溴胺麻醉,对照组接受咪唑安定+芬太尼+丙泊酚+维库溴胺麻醉.比较两组患者...

Effects of different compound anesthesia methods on consciousness state and cognitive function of patients after laparoscopic surgery for ectopic pregnancy

Objective To compare the effects of different compound anesthesia methods on consciousness state and cognitive function after laparoscopic surgery for ectopic pregnancy.Methods Seventy patients with ectopic pregnancy treated by laparoscopic surgery in the Second Hospital of Shaoxing from 2017 to 2018 were selected,before surgery,the patients were randomly divided into observation group and control group,35 patients in each group.The patients in observation group were treated by midazolam,fentanyl,dexmedetomidine,propofol,and vecuronium bromide;the patients in control group were treated by midazolam,fentanyl,propofol,and vecuronium bromide.The general data of anesthesia,physiological indexes in different periods,OAAS scores,MMSE scores,and bispectral indexes(BIS)scores were compared between the two groups.The related adverse reactions of anesthesia in the two groups were compared.Results The induction time of anesthesia,awake time,and recovery time of directional force in observation group were statistically significantly shorter than those in control group(P<0.05).There was no statistically significant difference in HR,MAP,and SpO2 in different periods of operation between the two groups(P>0.05).OAAS scores when extubating,leaving operation room,and at one hour after extubating in observation group were higher than those in control group,MMSE and BIS scores at one and three hours after surgery in observation group were higher than those in control group,there were statistically significant differences(P<0.05).There was no statistically significant difference in the incidence rate of related adverse reactions of anesthesia between the two groups(P>0.05).Conclusion For the patients with ectopic pregnancy treated by laparoscopic surgery,dexmedetomidine combined with propofol anesthesia has a rapid effect,which has little impact on physiological indicators,the anesthesia method is conducive to recovery of consciousness state and cognitive function after surgery.