Objective:To compare the effects of different anesthesia methods on stress hormones and hemodynamic changes in the patients with gynecological laparoscopic surgery. Methods:Retrospective analysis was carried out. Totally 145 patients with gynecolog-ical laparoscopic surgery were divided into two groups according to the anesthesia method, the control group with 72 cases was given routine remifentanyl propofol intravenous anesthesia, and the observation group with 73 cases was given routine propofol isoflurane com-posite anesthesia. Such hemodynamic indices as SBP, DBP and HR, and plasma NE, E, cort and AT II levels at different time points in the two groups were studied and compared, and adverse drug reactions were also observed in the two groups. Results:The BP and HR at T2 and T3 time point in the two groups were significantly lower than those at T0 time point (P<0. 05), and those in the obser-vation group were lower than those in the control group at the same time point(P<0. 05). The levels of NE, E, cort and ATⅡat T2 and T3 time point in the two groups were significantly higher than those at T0 time point (P<0. 05), while the increase in the observa-tion group was lower than that in the control group (P<0. 05). The incidence of adverse drug reactions (ADR), such as respiratory depression, hypertension, bradycardia and so on, and the total incidence of ADR in the observation group were both lower than those in the control group (P<0. 05). Conclusion:Compared with remifentanyl propofol intravenous anesthesia, propofol isoflurane composite anesthesia can keep the hemodynamic stability more effectively and reduce the stress reaction with fewer ADR and promising safety, which is worthy of wider application in clinics.

Objective:To analyze the causes of hypoglycemia in elderly patients after resection of gastrointestinal polyps.Methods:We retrospectively analyzed the data of 120 elderly patients who underwent gastrointestinal polypectomy in our hospital from November 2019 to November 2020, and analyzed the reasons for postoperative hypoglycemia.Results:(1)There were significant differences between the hypoglycemic group and the non-hypoglycemic group in age, diabetes, preoperative fluid replacement, preoperative fasting time, preoperative waiting time, preoperative emotional instability, and preoperative night sleep time(all P<0.05). (2)Logistic regression analysis showed that postoperative hypoglycemia was associated with age >70 years( OR=4.266, 95% CI: 1.120-16.162); Diabetes mellitus( OR=4.094, 95% CI: 1.311-12.773); No fluid was taken before surgery( OR=10.923, 95% CI=2.882-41.386); Preoperative fasting time ≥10 h( OR=9.042, 95% CI: 2.571-31.645); Preoperative wait time ≥12 h( OR=7.035, 95% CI: 1.855-26.651); Preoperative emotional instability( OR=4.25, 95% CI: 1.263-14.370); The preoperative night sleep time <6 h( OR=5.952, 95% CI: 1.760-19.992)was closely related(all P<0.05). Conclusions:There are many reasons for the occurrence of hypoglycemia in elderly patients after gastrointestinal polyp removal.Therefore, evaluation work should be done and preventive measures should be taken to reduce the occurrence of hypoglycemia and ensure the effectiveness and safety of treatment for patients.