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| A Efficacy Comparative Study of Bupivacaine Intraspinal Anesthesia and Fentanyl combined with Propofol General Anesthesia in Elderly Patients Undergoing Orthopaedic Surgery |
| ZHAN Puyi, LIU Ming, LIAO Xi |
| 910 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Fujian Fuzhou 362000, China |
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Abstract Objective: To efficacy compare bupivacaine intraspinal anesthesia with fentanyl combined with propofol general anesthesia in elderly patients undergoing orthopaedic surgery. Methods: A total of 60 elderly patients undergoing orthopaedic surgery in our hospital from January 2017 to December 2017 were studied, including 30 patients in the control group (fentanyl combined with propofol general anesthesia) and 30 patients in the observation group (bupivacaine intraspinal anesthesia). The physiological indexes of the two groups were compared. Results: Compared with the control group, the observation group had significantly shorter operation time and eye opening time, and the anesthetic dosage and language presentation time were also lower than the control group (P<0.05). Compared with the control group, the MMSE score of the observation group was significantly higher in the three time periods (1 hour, 3 hours and 6 hours after operation) (P<0.05). Compared with the control group, the incubation period of P 3 in the observation group was significantly shorter (P<0.05) in the three postoperative periods (1h, 3h and 6h), and the amplitude of P 3 in the observation group was significantly higher (P<0.05) in the three postoperative periods (1h, 3h and 6h). Conclusion: Intraspinal anesthesia has a better effect in the elderly orthopedic surgery. It can not only shorten the time of opening eyes, operation and language presentation, but also reduce the dosage of anesthetics effectively. It has less influence on the cognitive ability and mental state of the patients, and the patients can recover earlier.
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2019, Vol. 25 
