老年患者术后认知功能障碍情况及其对MMSE评分的影响

发布时间：2018-06-10 05:31

  本文选题：神经心理学 + 老年人　； 参考：《重庆医学》2014年27期

【摘要】：目的研究老年患者术后认知功能障碍(postoperative cognitive dysfunction,POCD)情况及其对简易精神状态评价量表(MMSE)评分的影响。方法 2012年7月至2013年7月,该院共有156例老年患者纳入研究,根据POCD诊断结果分为POCD组(54例)及无POCD组(102例)。整理并分析患者资料,分析POCD危险因素,对比两组MMSE评分情况。结果POCD组在年龄、教育时限、合并高血压、吸入麻醉药物以及术后镇痛等方面与无POCD组相比,差异均有统计学意义(P0.05)。Logistic回归分析显示,年龄、合并高血压以及术后镇痛为POCD疾病的危险因素。POCD组治疗后的MMSE评分显著低于治疗前及无POCD组治疗后的评分水平,差异均有统计学意义(均P0.05)。结论老年患者手术后POCD疾病的产生通常和年龄、合并高血压以及术后镇痛等危险因素有关,临床可通过MMSE评分量表对患者加以评测,值得临床推荐。
[Abstract]:Objective to study the effect of postoperative cognitive dysfunction POCDD on the MMSE score in elderly patients after operation. Methods from July 2012 to July 2013, 156 elderly patients were included in the study. According to the diagnostic results of POCD, 54 cases were divided into POCD group (n = 54) and no POCD group (n = 102). Data of patients were analyzed and POCD risk factors were analyzed. MMSE scores of two groups were compared. Results the age, education duration, hypertension, inhaled anesthetic and postoperative analgesia in POCD group were significantly higher than those in no POCD group (P 0.05). Logistic regression analysis showed that age was significantly higher than that in POCD group. The risk factors of POCD disease were hypertension and postoperative analgesia. The MMSE scores of POCD group after treatment were significantly lower than those before treatment and without POCD group (all P 0.05). Conclusion the occurrence of POCD in elderly patients after operation is usually related to age, hypertension and postoperative analgesia, and can be evaluated by MMSE scale, which is worthy of clinical recommendation.
【作者单位】： 河南省新乡市中心医院急诊科;
【分类号】：R749.16
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本文编号：2002138