Application effects of combined intravenous and inhalation anesthesia in patients undergoing gynecological laparoscopic surgery
Objective:To observe application effects of combined intravenous and inhalation anesthesia in patients undergoing gynecological laparoscopic surgery.Methods:A prospective study was conducted on 300 patients who underwent gynecological endoscopic surgery in this hospital from April 2021 to June 2023.According to the random number table method,they were divided into control group and observation group,150 cases in each group.The control group was treated with intravenous general anesthesia,while the observation group was treated with combined intravenous and inhalation anesthesia.The levels of anesthesia-related indexes(onset time of anesthesia,awake time of anesthesia,extubation time)and hemodynamic indexes(mean arterial pressure and heart rate)at different time[5 min before anesthesia induction(T0),5 min after operation(T1),and at the end of operation(T2)],the pain[visual analogue scale(VAS)]scores and the sedation(Ramsay sedation score)scores at different time after operation,and the incidence of adverse reactions were compared between the two groups.Results:The onset time of anesthesia,the awake time of anesthesia and the extubation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At T1 and T2,the mean arterial pressure and the heart rate of the two groups were lower than those at T0,but those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).3 and 6 h after operation,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).5 and 15 min after operation,the Ramsay sedation scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:The combined intravenous and inhalation anesthesia in the patients undergoing gynecological laparoscopic surgery can improve the levels of anesthesia-related indexes,stabilize the levels of hemodynamic indexes,reduce the pain scores,and improve the sedation scores.Moreover,it is superior to intravenous general anesthesia.
GynecologyEndoscopic surgeryCombined intravenous and inhalation anesthesiaIntravenous general anesthesiaPainHemodynamicsSedation
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