Effects of different anesthesia schemes on anesthetic effect and postoperative cognitive function in elderly patients undergoing percutaneous nephrolithotomy
Objective To analyze the effects of different anesthesia schemes on anesthetic effect and postoperative cognitive function in elderly patients undergoing percutaneous nephrolithotomy.Methods A total of 90 elderly patients who received percutaneous nephrolithotomy in Lianzhou People's Hospital from December 1,2021 to December 31,2023 were selected as the research objects,and were divided into control group and treatment group by computer random allocation method,with 45 cases in each group.The control group received surgery under general anesthesia,and the treatment group received surgery under epidural block.The anesthetic effect and postoperative cognitive function of the two groups were compared.Results There was no significant difference in the excellent and good rate of anesthetic effect between the two groups(P>0.05);Before anesthesia and 3 days after anesthesia,there was no significant difference in the score of Mini-Mental State Examination(MMSE)between the two groups(P>0.05);The MMSE score of the treatment group was higher than that of the control group at 6 h,1 days and 2 days after anesthesia(P<0.05).Conclusion The anesthetic effect of epidural block for elderly patients undergoing percutaneous nephrolithotomy is basically the same as that of general anesthesia,but the dose of anesthetic drugs can be significantly reduced,and the effect on postoperative cognitive function of patients is small,which has high clinical application and promotion value.
epidural blockgeneral anesthesiapercutaneous nephrolithotomyelderly patientsanesthetic effectcognitive function
万方数据
维普
