摘要
目的比较蛛网膜下腔麻醉和全身麻醉两种麻醉方式对接受髋关节置换手术老年患者的术后谵妄及认知功能的影响。方法选择2014年1月至2015年12月期间,在我院接受治疗髋关节置换手术的老年患者150例,将入组患者随机分为蛛网膜下腔麻醉组(74例)与全身麻醉组(76例)两组,比较两种麻醉方式对患者术后谵妄及认知功能的影响。结果对比全身麻醉组,蛛网膜下腔麻醉组术后谵妄的发生率并没有显著提高(P>0.05),但比较两组简易精神状态检查(MMSE)评分,蛛网膜下腔麻醉组明显高于全身麻醉组(P<0.05)。结论蛛网膜下腔麻醉可能会对减少术后谵妄和认知功能障碍有一定作用,值得在老年髋关节置换手术中推广。
Objective To find the difference in delirium rate and cognitive damage between subarachnoid and general anesthesia for the elder patients who underwent hip replacement surgery. Methods From January 2014 to December 2015, we chose 150 elderly patients who underwent hip replacement surgery in our hospital, the patients were randomly divided into subarachnoid anesthesia group （ 74 cases ） and general anesthesia group （ 76 cases ）, and compared the different postoperative delirium rate and cognitive disorder of two groups.Results The incidence of postoperative delirium of two groups was not increased significantly （P〉 0.05 ）, but the score of Mini-mental state examination （ MMSE ） in subarachnoid anesthesia group was significantly higher than that in the general （P 〈 0.05 ）. Conclusion The subarachnoid anesthesia certainly could reduce the postoperative delirium and cognitive disorder.
出处
《国际精神病学杂志》
2016年第5期876-878,共3页
Journal Of International Psychiatry
关键词
蛛网膜下腔麻醉
高龄患者
术后谵妄
认知功能
Subarachnoid anesthesia
Older patients
Postoperative delirium
Cognitive function
