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全身麻醉与硬膜外麻醉对老年患者骨科手术术后认知功能的影响 被引量：9

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摘要 目的:探讨全身麻醉与硬膜外麻醉对老年创伤手术患者认知功能的影响。方法:选取骨科手术老年患者90例,随机分为两组,观察组45例,给予全身麻醉后进行手术;对照组45例,给予硬膜外麻醉后进行手术。对比分析两组患者手术时间及出血量情况,术后6 h、12 h、24 h、48 h的精神状态检测(MMSE)评分差异,并比较两组患者术后认知功能障碍(POCD)的发生情况。结果:两组患者年龄、体重、手术时间及出血量等一般资料差异无统计学意义(P>0.05);硬膜外麻醉组术后24 h的MMSE评分明显高于全身麻醉组,差异有统计学意义(P<0.05);全身麻醉组在术后24 h内POCD的发生率明显高于硬膜外麻醉组,差异有统计学意义(P<0.05),而两组在24 h后的POCD的发生率比较,差异有统计学意义(P>0.05)。结论:全身麻醉对老年骨科手术患者术后短期认知功能障碍影响显著大于硬膜外麻醉。
作者 毛英丽 王爽 马爱兵 姜灿红 刘建新
机构地区 吉化集团公司总医院麻醉科 吉化集团公司总医院肾内科
出处 《吉林医学》 CAS 2015年第12期2524-2525,共2页 Jilin Medical Journal
关键词 全身麻醉 硬膜外麻醉 认知功能影响 老年患者
分类号 R614 [医药卫生—麻醉学]
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参考文献6

二级参考文献49

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共引文献186

同被引文献77

  • 1李新帅,孟帆.全身麻醉和椎管内麻醉对骨科手术患者术后精神状态、认知功能的影响[J].国际精神病学杂志,2020,0(1):107-109. 被引量：25
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吉林医学
2015年 第12期

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