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全麻与脊椎-硬膜外阻滞麻醉老年患者术后认知功能障碍发生情况比较 被引量:1

Comparison of Postoperative Cognitive Dysfunction in Elderly Patients With General Anesthesia and Epidural Block Anesthesia
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摘要 目的探讨全麻与脊椎-硬膜外阻滞麻醉对老年患者术后认知功能的影响。方法将120例老年骨科患者分为观察组(脊椎-硬膜外阻滞麻醉)和对照组(全麻),对比两组简易精神状况评分及术后认知功能障碍发生情况。结果观察组简易精神状况评分高于对照组(P<0.05);术后认知功能障碍发生率低于对照组(P<0.05)。结论脊椎-硬膜外阻滞麻醉对老年患者术后认知功能影响小。 Objective To investigate the effect of general anesthesia and spinal epidural block anesthesia on postoperative cognitive function in elderly patients.Methods 120 cases of elderly patients were divided into observation group(spinal epidural block anesthesia) and control group(general anesthesia),compared with two groups of simple mental status score and postoperative cognitive dysfunction.Results The scores of simple mental status in the observation group were higher than those in the control group(P〈0.05),and the incidence of postoperative cognitive dysfunction was lower than that of the control group(P〈0.05).Conclusion Spinal epidural block anesthesia has little effect on postoperative cognitive function in elderly patients.
作者 杨鸣
出处 《中国继续医学教育》 2015年第28期53-54,共2页 China Continuing Medical Education
关键词 脊椎-硬膜外阻滞麻醉 老年患者 认知功能障碍 Spinal epidural block anesthesia Elderly patients Cognitive dysfunction
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