首页|老年结直肠癌患者手术诱导期间应用环泊酚对循环系统的影响分析

老年结直肠癌患者手术诱导期间应用环泊酚对循环系统的影响分析

扫码查看
目的 分析环泊酚在老年结直肠癌患者手术诱导期间的应用对患者循环系统的影响.方法 方便选取2022年1月—2023年6月在江苏大学附属武进医院接受结直肠癌手术治疗的116例老年患者为研究对象,根据不同麻醉诱导方式将患者分为两组,每组58例.对照组用丙泊酚麻醉诱导,观察组用环泊酚麻醉诱导.比较两组患者术后认知功能、血流动力学状态、麻醉诱导时间和术后恢复情况.结果 观察组患者术后10 min、30 min认知功能评分均高于对照组,差异有统计学意义(P均<0.05).两组患者术后2 h认知功能评分比较,差异无统计学意义(P>0.05).两组注射前舒张压、收缩压、心率水平对比,差异无统计学意义(P均>0.05).观察组插管时、拔管时、术毕血流动力学指标均低于对照组,差异有统计学意义(P均<0.05).两组患者麻醉诱导时间对比,差异无统计学意义(P>0.05).观察组苏醒时间为(4.01±0.65)min、定向力恢复时间为(4.13±1.02)min,短于对照组的(5.02±1.21)min、(5.67±1.25)min,差异有统计学意义(t=5.600、7.270,P均<0.05).结论 与丙泊酚相比,环泊酚在老年结直肠癌患者手术诱导麻醉期间的应用可以改善患者术后的认知功能,调节患者的血流动力学水平,缩短患者术后苏醒和定向力恢复时间,具有较高临床借鉴价值.
Analysis of the Effect of Ciprofol Application on the Circulatory System During Anesthesia Induction of Surgery in Elderly Patients with Colorec-tal Cancer
Objective To analyze the effect of the application of ciprofol on the circulatory system of elderly patients with colorectal cancer during the induction of surgery.Methods A total of 116 elderly patients who underwent colorec-tal cancer surgery in Wujin Hospital Affiliated to Jiangsu University from January 2022 to June 2023 were conve-niently selected as the study subjects.The patients were divided into two groups different anesthesia induction meth-ods,with 58 cases in each group.The control group was induced by propofol anesthesia,and the observation group was induced by ciprofol anesthesia.The postoperative cognitive function,hemodynamic status,anesthesia induction time and postoperative recovery were compared between the two groups.Results The scores of cognitive function in the observation group were higher than those in the control group at 10 min and 30 min after operation,and the differ-ences were statistically significant(both P<0.05).There was no significant difference in cognitive function score be-tween the two groups at 2 hours after operation(P>0.05).There was no significant difference in diastolic blood pres-sure,systolic blood pressure and heart rate between the two groups before injection(all P>0.05).The hemodynamic in-dexes of the observation group were lower than those of the control group at the time of intubation,extubation and the end of operation,and the differences were statistically significant(all P<0.05).There was no significant difference in anesthesia induction time between the two groups(P>0.05).The recovery time of the observation group was(4.01±0.65)min,and the recovery time of directional force was(4.13±1.02)min,which was shorter than(5.02±1.21)min,(5.67±1.25)min of the control group,the differences were statistically significant(t=5.600,7.270,both P<0.05).Con-clusion Compared with propofol,the application of ciprofol in the induction of anesthesia in elderly patients with colorectal cancer can improve the postoperative cognitive function of patients,regulate the hemodynamic level of pa-tients,and shorten the recovery time of postoperative recovery and orientation.It has high clinical reference value.

Elderly patientsColorectal cancer surgeryAnesthesia inductionCiprofolCirculatory systemSecurity

邹亚媛、陈滨、刘佳

展开 >

江苏大学附属武进医院(徐州医科大学武进临床学院)麻醉科,江苏 常州 213000

老年患者 结直肠癌手术 麻醉诱导 环泊酚 循环系统 安全性

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(22)