Impact of Propofol Combined with Etomidate on Respiratory,Circulatory System,and Cognitive Function in Elderly Patients Undergoing Painless Gastroscopy
Objective:To investigate the effects of propofol combined with etomidate on respiratory and circulatory systems,as well as cognitive function in elderly patients undergoing painless gastroscopy.Methods:A total of 100 elderly patients scheduled for painless gastroscopy were randomly divided by lottery into a study group and a control group,with 50 patients in each group.The control group received anesthesia with etomidate alone,while the study group was anesthetized with a combination of etomidate and propofol.Anesthesia effec-tiveness,respiratory and circulatory system parameters,cognitive function,and the incidence of adverse reac-tions were compared between the two groups.Results:Induction time,recovery time after surgery,time to ori-entation recovery,and anesthesia blocking effect scores were all lower in the study group compared to the control group(P<0.05).During the examination,systolic blood pressure(SBP),diastolic blood pressure(DBP),oxygen saturation(SpO2),heart rate(HR),and respiratory rate(RR)decreased in both groups compared to pre-examination levels,with the study group exhibiting lower values than the control group(P<0.05).The study group displayed better cognitive function and a lower incidence of adverse reactions than the control group(P<0.05).Conclusion:For elderly patients undergoing painless gastroscopy,the use of propofol combined with etomidate for anesthesia shows favorable clinical application results.This combination effectively enhances anesthesia efficiency,improves circulatory and respiratory parameters,promotes cognitive function recovery,and reduces the occurrence of adverse reactions,thus warranting wider application.
PropofolEtomidateElderly PatientsPainless GastroscopyRespiratory and Circulatory SystemsCognitive Function