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老年骨科患者采用全身麻醉和硬膜外麻醉对术后短期认知功能的影响探析 被引量:9

Postoperative Observation on the Elderly Patients in the Department of Orthopedics,the Use of General Anesthesia and Epidural Anesthesia Effect on Cognitive Function of Short-term
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摘要 目的探究全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响程度。方法随机抽取2013年8月—2014年8月在该院就诊的老年骨科患者进行临床研究,随机分为观察组与对照组,观察组患者接受硬膜外麻醉,对照组患者接受全身麻醉,观察记录两组患者在术后的短期认知功能并比对。结果术后24、48 h及麻醉前后两组患者的MMSE评分差异无统计学意义(P>0.05)。在术后6 h和12 h患者的认知功能差异有统计学意义(P<0.05)。结论硬膜外麻醉对老年骨科患者术后短期认知功能具有较小的影响,有助于术后患者的恢复。 Objective To explore the general anesthesia and epidural anesthesia on the degree of influence of short-term cognitive function in elderly patients in the department of orthopedics after surgery.Methods Clinical study were selected from August 2013 to August 2014 in our hospital,elderly patients in the department of orthopedics,were randomly divided into the observation group and the control group,the observation group patients received epidural anesthesia,patients in the control group received general anesthesia,records of two patients in the postoperative short-term cognitive function and comparison.Results After 24 hours,48 hours and anesthesia before and after the patients of the two groups with MMSE score had no significant difference(P〈0.05).Has a statistically significant difference in postoperative 6 hours and 12 hours of cognitive function of the patients(P〈0.05).Conclusion The effects of epidural anesthesia on cognitive function in the elderly with smaller short-term department of orthopedics patients after surgery,contribute to the recovery of the patients after surgery.
作者 杨志鹏
出处 《中外医疗》 2015年第12期18-19,共2页 China & Foreign Medical Treatment
关键词 老年骨科 全身麻醉 硬膜外麻醉 短期认知功能 Elderly patients in the department of orthopedics General anesthesia Epidural anesthesia Cognitive function of short-term
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