Analysis About Anesthesia Quality Of Three Different Kinds Of Anesthesia Methods For Abdominal Surgery Patients

Anesthesia quality is the key to ensure patients safety during operation, asinclude stabilization of vital signs and stable environment in vivo in progress ofoperation.General anesthesia patients should also include the unconscious andmemory loss, to wake up quickly and be in smooth status after anesthesia, to gethigh patient satisfaction, to save the cost of anesthesia and meet the requirementsof operation doctor. If the anesthetic effect is not good that can reduce the anesthesiaquality, With the exception of scientific development and the expanding the scope ofsurgery, the type of surgery increase constantly, however, the safety of anesthesia andsurgery attract more and more attention. It is reported that the anesthesia-relatedmortality rate was0.14‰up to the last century, because improper administration ofanesthesia, anesthesia incorrect choice and the incorrect use of improper equipment.Different data study the impact of anesthesia quality on the anesthesia security fromdifferent aspects, however mostly from anesthesia prepared and the choice ofanesthesia method and anesthesia drugs from different sides to get some experienceby observing the clinical summary. But now there is lack of systematic study aboutanesthesia methods on anesthesia quality. Anesthesia quality is affected by manyfactors. Therefore, this study analysis the effect reasons of the anesthesia quality andhow to improve anesthesia quality from anesthesia method, anesthesia drug,anesthesia maintained during surgery.ObjectsThis study analyzes related indicators about anesthesia quality, such ascirculatory function in patients with different anesthesia methods, homeostatic index,endotracheal tube pulled out time and recovery time, postoperative adverse reactions,restlessness, patients with intraoperative awareness, postoperative anesthesiasatisfaction and anesthesia fee.And this study also explore the changes in circulation,Blood epinephrine (EPI) and noradrenaline (NA) concentration, blood test results, and changes of postoperative pain score changes of same category and in differenttime points. In order to provide the appropriate reference for clinical anesthesia work,anesthesia quality has been evaluation.MethodThis study select150patients with general anesthesia or general anesthesiacombined with epidural anesthesia for abdominal stomach or intestinal surgery fromNovember2013to March2014from Liaoning Provincial People’s Hospital.Randomly divided into groups G1(Sevoflurane+propofol+vecuronium), G2(Sevoflurane+remifentanil+propofol+vecuronium) and GE (Sevoflurane+propofol+vecuronium+continuous epidural anesthesia) and there are50cases ineach group. Then collect factors about anesthesia quality such as circulation changes,homeostatic index, patients undergoing infusion volume, urine volume, the amountof anesthetic and postoperative adverse reactions, anesthesia fee and so on.Thedatabase was set up by Excel software and statistical analysis was carried out bySPSS18.0software. Measurement data were expressed as mean±standard deviation,using the t test or analysis of variance to compare. Count data use rate or constituentratio. Significance level is P<0.05.Result1. Circulation changes: SBP values in G1group were higher than that in GEgroup at each time;SBP values in G2group were higher than that in GE group atT5,T6,T7.DBP values in G1group were higher than that in GE group in addition ofT2point; DBP values in G2group were higher than that in GE group at T1,T3,T4,T5point; HR values in G1group were higher than that in GE group in addition ofT1;HR values in G2group were higher than that in GE group at T1;BIS values in G1group were significantly higher than that in GE group at T1,T2and lower atT4,T5,T6,T7;G2group were significantly lower than GE group at T4,T5,T6,T7.2. Homeostatic index: SpO2values in G1group were lower than that in GEgroup at T2and lower at T6;G2group were higher than GE group at T6,T7.EPI,NAconcentration in G1group were significantly higher than that in GE group at threetime points.PaCO2concentration were higher than that in G1and G2group atT4.PaO2values in G3group were lower than that in G1group and lower than in G2 group at T4,T5,T6. Hb values in G1group were higher than that in G2and GE groupat T0,T4.3. Endotracheal tube pulled out time and wake-up time in GE group weresignificantly shorter than that in G1and G2group. Riker scores when endotrachealtube was pulled in G2group were relatively higher and significant higher than that inG1group.4. Dose of sevoflurane in GE group were significant lower than that in G1andG2group.Dose of propofol in GE group were less than that in G1group.Vecuronium dosage in GE group were significant less than that in G1group.5. There were no significant difference in the infusion volume and anesthesiaprice of three groups; no consciousness and restlessness in the operation;Fewer andless adverse reactions after surgery.Patients urine in GE group was significantlyhigher than that in G1and G2group.6.12-24h postoperative pain score in GE group were significant lower than thatin G1group.Patient anesthesia satisfaction in GE group were relatively higher.Conclusion1. Three kinds of surgical anesthesia can meet the requirements ofpatients,surgery without pain,without knowing.2. After the end of surgery to stop anesthesia,wake up fast and no restless whenextubation.3. Postoperative nausea,vomiting and dizziness were in low incidence and noother complications.4. Anesthesia combined with epidural anesthesia were in the best quality,andis the preferred method of abdominal surgery.