Anesthetic effect of different anesthesia methods on elderly patients with digestive tract tumors and their effects on early cognitive function after operation

Abstract

Objective To investigate the anesthetic effects of different anesthesia methods on elderly patients with digestive tract tumors and their influence on early cognitive function after operation. Methods A total of 90 elderly patients with gastrointestinal cancer admitted to the Shanxi Dayi Hospital from March 2017 to April 2018 were randomly divided into control group (n=45) and observation group (n=45). Surgical treatment was given to both groups. Patients in control group were treated with propofol intravenous anesthesia. Patients in observation group were treated with sevoflurane inhalation anesthesiaon on the basis of the control group. The Mini-Mental State Examination (MMSE) scale was used to evaluate the cognitive function before and after anesthesia in both groups. The effects of anesthesia and early cognitive function after operation were compared between the two groups. Results The recovery time, recovery time and extubation time of observation group were shorter than those of control group (P 0.05). The MMSE scores at 1 h and 12 h after surgery were higher than those in control group (P<0.05). Conclusions Propofol intravenous anesthesia combined with sevoflurane inhalation anesthesia on has little effect on early cognitive function in elderly patients with gastrointestinal cancer. It is worthy of popularization and application. Key words: Propofol total intravenous anesthesia; Sevoflurane intravenous inhalation combined anesthesia; Elderly digestive tract neoplasms; Cognitive function