摘要
目的探讨气管插管全麻对老年糖尿病患者髋部骨折术后谵妄及认知功能改变的影响。方法选取自2017年8月~2018年8月在我院进行治疗的老年糖尿病患者髋部骨折患者104例,随机分为对照组和研究组,分别采取硬膜外麻醉和气管插管全麻方式。比较两组患者的术后谵妄发生率、简易智能精神状态量表(MMSE)评分和生命质量(QOL)评分。结果研究组的术后谵妄发生率明显低于对照组患者(P<0.05);研究组患者在术后12 h、72 h、1周和1个月的MMSE评分都明显高于对照组患者(P<0.05);治疗前,两组患者的QOL评分无明显差别(P>0.05),治疗后,研究组患者的QOL评分明显高于对照组患者(P<0.05)。结论气管插管全麻可降低老年糖尿病患者髋部骨折患者术后谵妄发生率,有利于改善患者的认知能力。
Objective To study the influence of general anesthesia with endotracheal intubation to deliriam and cognitive competence change after hip fracture operation in older patients suffering diabetes. Methods There were 104 older patients had been chosen, who were classified to 2 groups by random. The control group used epidural anesthesia, and the research group used general anesthesia. The two groups were compare with deliriam rate, MMSE and QOL grade. Results The incidence of postoperative delirium was significantly lower in the study group than in the control group ( P < 0. 05 );The MMSE score of 12 h, 72 h, one week and one month after surgery was significantly higher in the study group than in the control group (P < 0. 05 );Before treatment, there was no significant difference in QOL score between the two groups (P > 0. 05 ). After treatment, the QOL score of the patients in the study group was significantly higher than that of the control group (P < 0. 05 ). Conclusion General anesthesia with intubation could reduce deliriam in older diabetes patients after hip fracture operation, improve cognitive competence.
作者
张杨
王艳
ZHANG Yang;WANG Yan(Department of Anesthesia, The First Affiliated Hospital of Harbin Medical University, Harbin150001, China)
出处
《哈尔滨医科大学学报》
CAS
2019年第3期269-271,279,共4页
Journal of Harbin Medical University
