摘要
目的探讨星状神经节阻滞对老年腰椎后路手术术后脑功能障碍的影响。方法选择30例患者使用星状神经节阻滞,并与30例常规对症支持治疗的患者比较,在治疗后1、5、7d两组MMSE量表评分变化情况,并统计治疗后7d患者的主要精神症状。结果两组术后1d时MMSE评分差异均无统计学意义(P>0.05),治疗后5d和7d,观察组MMSE评分均显著高于对照组(P<0.05),治疗后7d,观察组存在定向障碍、语言障碍、记忆障碍以及精神萎靡的比率均显著低于对照组(P<0.05)。结论老年实施腰椎后路手术后的患者,较易出现术后脑功能障碍,使用双侧的星状神经节阻滞能有效改善患者精神症状,有利于患者康复。
Objective To investigate the effects of stellate ganglion block on senile lumbar posterior approach with cerebral dysfunction. Methods Thirty cases used stellate ganglion block and 30 cases with conventional symptomatic and supportive therapy, compared them with 1, 5, 7 d after treatment of MMSE scale changes and statisticed the primary psychiatric symptoms 7 d after treatment. Results MMSE score had no statistically significant between the two groups 1 d after treatment （P 0.05）, MMSE scores of the observation group were higher than control group at the 5 d and 7 d after treatment（P 0.05）, the observation group exists disorientation, language impairment, memory impairment and depression rates were significantly lower than control group （P 0.05）, at the 7 d after treatment. Conclusion It is commonly that senile lumbar posterior approach with cerebral dysfunction for gerontal patient, the elderly after lumbar operation implementation, are prone to postoperative cerebral dysfunction, bateral stellate ganglion block can effectively improve patients with psychiatric symptoms for elderly patients, it is useful for postoperative rehabilitation.
出处
《中国当代医药》
2012年第26期52-53,共2页
China Modern Medicine
关键词
星状神经节阻滞
老年
腰椎后路
术后脑功能障碍
Stellate ganglion block
Elderly
Lumbar spine
Postoperative cerebral dysfunction
