Influence of different general anesthesia on the quality of anesthesia recovery and its risk factors in patients with laparoscopic hysterectomy
Objective To explore the influence of different general anesthesia on the quality of anesthesia recovery and its risk factors in patients with laparoscopic hysterectomy.Methods A total of 178 patients undergoing laparoscopic hysterectomy admitted to Joint Support Force 904 Hospital from June 2020 to June 2023 were selected as study subjects.The clinical dat were retrospectively analyzed.They were divided according to different anesthesia methods into observation group(n=97,compound epidural general anesthesia)and control group(n=81,conventional general anesthesia).Mean arterial pressure(MAP),heart rate,body temperature,visual analogue scale(VAS)score,extubation time,bispectral index recovery time,and complete recovery time were observed and compared between the two groups.To explore risk factors affecting complete recovery time.Results The VAS score of the observation group was lower than the control group,and the extubation time,bispectral index recovery time and complete recovery time were shorter than those of the control group(P＜0.05).In the observation group,MAP and heart rate at the onset of anesthesia induction,the beginning of the surgery,30 min during the surgery,90 min during the surgery,the end of surgery were lower than those of the control group,and the body temperature were higher than those of the control group,and the differences were statistically significant(P＜0.05).Complete recovery time was negatively correlated with body temperature and positively associated with MAP,VAS score,and heart rate(P＜0.05).Routine general anesthesia,body mass index(BMI),VAS score,and MAP were the risk factors affecting the complete recovery time(P＜0.05).Conclusions Composite epidural general anesthesia has less influence on anesthesia recovery quality in laparoscopic hysterectomy patients,with more stable blood pressure,heart rate,body temperature.Clinical attention should be paid to the effects of general anesthesia menthods,BMI,VAS score,MAP on complete recovery time.The anesthesia plan should be adjusted according to the actual status of patients to ensure the recovery quality of patients.
Combined general anesthesiaLaparoscopic hysterectomyQuality of anesthesia recoveryRisk factor
万方数据
维普
