The Clinical Anesthesia Effect of Remifentanil Combined with Propofol in Laparoscopic Cholecystectomy in the Elderly

Abstract

Objective: To explore and analyze the effect of remifentanil combined with propofol for anesthesia in patients undergoing laparoscopic cholecystectomy, and to explore its clinical application value. Methods: A total of 64 patients who underwent laparoscopic cholecystectomy were selected and randomly divided into two groups, with 32 patients in each group. The anesthesia used in the control group was propofol combined with fentanyl, whereas the observation group was propofol combined with remifentanil and fentanyl. Medical staff routinely performed thyroidectomy on the patients after receiving anesthesia. After the treatment was completed, the researchers recorded the adverse reactions of the patients and the anesthesia effect during laparoscopic cholecystectomy and analyzed the anesthesia effect of the patients. Results: After the operation, the excellent and good rates of anesthesia in the observation group were significantly higher (P < 0.05). Pain in the observation group was significantly lower (P < 0.05). The clinical indicators after receiving anesthesia were significantly better in the observation group (P < 0.05). During the operation period, the two groups had different degrees of adverse reactions, while the incidence of adverse reactions in the observation group was relatively lower (P < 0.05). Conclusion: Patients in the observation group showed better anesthesia and lower pain levels during surgery, higher excellent and good rates of anesthesia, lower VAS scores, and better anesthesia indicators. Therefore, remifentanil-propofol combined anesthesia can be used as an effective anesthesia option in laparoscopic cholecystectomy, which improves the anesthesia effect during the operation and the postoperative pain control of patients and has clinical application value.