Clinical Observation of the Effect of Sevoflurane Inhalation Anesthesia on the Cardiac Function of Elderly Patients Based on Pulsifolex Platform
Zhipeng Liang, Zheng Zuo, Binque Wan, Bingwei Hu, Ying Hu · International Journal of Clinical and Experimental Medicine Research · 2021
Objective: To investigate the effect of sevoflurane inhalation anesthesia on cardiac function of elderly patients based on pulsioflex platform.Methods: from January 2017 to December 2019, 40 elderly patients scheduled for hip replacement were randomly divided into two groups: sevoflurane group (experimental group, n = 20) and propofol group (control group, n = 20).Entropy index was used to maintain the depth of anesthesia in all patients.Based on pulsioflex platform, the cardiac work index (CPI), left ventricular contractility index (dpmx), heart rate (HR) and blood pressure (BP) were recorded every 5 minutes before anesthesia, before operation and after operation until the end of operation.The effects of sevoflurane inhalation anesthesia and propofol continuous infusion anesthesia on cardiac function of elderly patients were observed, and the anesthetic efficacy, changes of (CPI, dpmx, HR, BP) and reactions of the two groups were compared.Results: the total effective rate of anesthesia in the observation group was 95.00%, and that in the control group was 90%.The observation group was significantly higher than that in the control group (χ 2 = 6.05,P = 0.01).The experimental group was significantly higher than that in the control group, and the difference was statistically significant.Before anesthesia, before operation and at the beginning of operation, the changes of cardiac work index (CPI), left ventricular systolic index (dpmx), heart rate (HR) and blood pressure (BP) in the experimental group were significantly higher than those in the control group, and the difference was statistically significant.The two groups in the hemodynamics faster, hypotension, hypertension, heart rate too fast or too slow, myocardial ischemia signs and other adverse reactions, the experimental group were lower than the control group, the difference was not statistically significant (P > 0.05).Conclusion: sevoflurane inhalation anesthesia has definite anesthetic effect on elderly patients undergoing hip replacement.The impact of sevoflurane inhalation anesthesia on cardiac function (CPI, dpmx, HR, BP) of elderly patients monitored by pulsioflex platform is relatively large, and the adverse reactions are relatively small.