摘要
目的:探究全身麻醉和腰硬联合麻醉对老年患者股骨头置换术后认知功能障碍(poCd)的影响。方法:全麻组42例,行全身麻醉,腰硬联合组42例,行腰硬联合麻醉,对比两组术后认知功能状况。结果:全麻组患者术后1d的mmSe评分为(22.4±1.1)分,低于腰硬联合组的(25.9±1.2)分,p<0.05;腰硬联合组的围术期mmSe评分较为平稳。腰硬联合组poCd发生率为7.1%,低于对照组的35.7%,p<0.05。结论:腰硬联合麻醉对老年患者股骨头置换术后认知功能影响较小,有助于保障手术安全。
Objective:To explore the effects of general anesthesia and combined spinal epidural anesthesia on POCD in elderly patients with femoral head replacement.Methods:42 cases of general anesthesia group,42 cases of epidural anesthesia,combined spinal epidural anesthesia,42 cases in each group,compared with two groups of postoperative cognitive function.Result:The MMSE score of 1D in the general anesthesia group was(22.4±1.1),which was lower than that of the combined spinal epidural group(25.9 ±1.2),P<0.05.The POCD rate of the combined spinal epidural group was 7.1%,which was lower than that of the control group of 35.7%,P<0.05.Conclusion:Combined spinal epidural anesthesia has little effect on the postoperative cognitive function in elderly patients with femoral head replacement,which is helpful to ensure the safety of operation.
出处
《健康之路》
2016年第3期14-14,共1页
Health Way
