摘要
目的评估不同麻醉方法如何影响老年全髋置换术术后认知障碍综合征。方法筛选2014年5月—2015年5月本院救治的101例老年全髋置换术患者,以不同麻醉方法分组:实验组(51例,行腰硬联合麻醉),对照组(50例,行全身麻醉),对照术后两组认知障碍影响。结果实验组各时点神经心理评分、认知功能障碍发生率均低于对照组(P<0.05)。结论对全髋置换术患者救治时,行腰硬联合复合镇静麻醉,术后对认知障碍影响很小。
Objective To evaluate the effect of different anesthesia methods on postoperative cognitive dysfunction syndrome in senile total hip arthroplasty, Methods 101 cases of elderly patients with total hip arthroplasty treated in our hospital from May 2014 to May 2015 were screened and divided into experimental group （51 cases of combined spinal epidural anesthesia） and control group （50 cases of general anesthesia） based on the anesthesia method, the effect of cognitive dysfunction in two groups after operation compared. Results The neuropsychological scores at different time points, the incidence of cognitive dysfunction in experimental group were lower than that of control group （P〈0.05）. Conclusion The spinal epidural anesthesia with postoperative sedation influences minimally the cognitive dysfunction in the treatment of patients with total hip arthroplasty.
出处
《中国继续医学教育》
2017年第10期78-80,共3页
China Continuing Medical Education
关键词
老年全髋置换术
认知障碍综合征
行腰硬联合麻醉
全身麻醉
total hip arthroplasty
cognitive dysfunction syndrome
spinal epidural anesthesia
general anesthesia
