摘要
目的分析研究硬膜外麻醉和全身麻醉对老年骨科患者术后认知功能的影响。方法选取我院在2015年3月~2016年3月收治的98例老年骨科患者作为本次的研究对象,将其按照不同麻醉方法分为观察组与对照组,每组49例,给予观察组患者实施硬膜外麻醉,给予对照组患者实施全身麻醉。对比两组患者简易精神状检测量表(MMSE)的评分、认知功能评分、术后认知功能障碍(POCD)发生率。结果观察组患者术后的MMSE评分、认知功能评分显著优于对照组患者,差异具有统计学意义(P<0.05)。观察组患者的POCD发生率为6.12%,对照组患者的POCD发生率为20.38%,组间比较具有统计学意义(P<0.05)。结论老年骨科患者在手术过程中实施硬膜外麻醉,可明显减轻患者术后的认知功能影响,对提高患者预后有重要意义,值得临床推广应用。
Objective To analyze the effects of epidural anesthesia and general anesthesia on postoperative cognitive function of elderly orthopedic patients. Methods 98 elderly orthopaedic patients in our hospital from March 2015 to March 2016 were selected as the subjects of this study.They were divided into observation groups and control groups according to different anesthesia methods,and 49 cases in each group.The patients of observation group were given epidural anesthesia, and the patients of control group were given general anesthesia.The Simple mental checklist（MMSE） score,cognitive function assessment and incidence of postoperative cognitive dysfunction（POCD） were compared between two groups. Results The MMSE score and cognitive function assessment of observation group were significantly better than those of control group, and the difference was statistically significant（P〈0.05）.The incidence of POCD in the observation group was 6.12%,and the incidence of POCD in the control group was 20.38%. The difference between groups was statistically significant（P 〈 0.05）. Conclusion Epidural anesthesia for elderly orthopedic patients during surgery Which was performed,can obviously reduce postoperative cognitive function,have great significance to improve the prognosis of patients,worthy of clinical popularization and application.
出处
《中国医药科学》
2017年第19期183-185,233,共4页
China Medicine And Pharmacy
关键词
硬膜外麻醉
全身麻醉
老年患者
骨科
认知功能
Epidural anesthesia
General anesthesia
Elderly patients
Department of anesthesiology
Cognitivefunction
