International Journal of Clinical Research

Objective To investigate the anesthetic effect of remifentanil in total hip arthroplasty. Methods: A total of 88 patients who underwent hip replacement in our hospital from June 2019 to June 2021 were selected as the study subjects, and the patients were randomly divided into two groups: the control group received sufentanil for maintenance anesthesia, and the observation group received remifentanil for maintenance anesthesia, and the anesthesia effect of the two groups was compared. Results: There was no significant difference in the operative time between the two groups (P >0.05), but the postoperative eye opening time and language recovery time of the observation group were shorter than those of the control group (P <0.05). The prince-Henry score after extubation in the observation group was lower than that in the control group, and the Steward score was higher than that in the control group (P <0.05). There was no significant difference in cognitive function (MMSE) score between 2 groups 1 day before surgery, 1 day after surgery and 5 days after surgery (P >0.05). Conclusion: Remifentanil for maintenance anesthesia in total hip arthroplasty can achieve good results, and does not bring significant effects on postoperative cognitive function of patients, so it is worth popularizing.

Remifentanil; Total Hip Replacement; Anesthesia; Sufentanil