全身麻醉和硬膜外麻醉对老年股骨骨折患者术后短期认知功能的影响

发布时间：2017-12-27 16:58

本文关键词：全身麻醉和硬膜外麻醉对老年股骨骨折患者术后短期认知功能的影响　出处：《中国实用医药》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨全身麻醉和硬膜外麻醉对老年股骨骨折患者术后短期认知功能的影响。方法 100例行股骨骨折切开复位内固定患者,按照不同的麻醉方法分为全身麻醉组和硬膜外麻醉组,各50例。分析对比两组患者相关情况。结果两组患者的心率、平均动脉压比较差异无统计学意义(P0.05)。硬膜外麻醉组麻醉后24、72 h患者的精神状况检测分数显著高于全身麻醉组,差异有统计学意义(P0.05)。结论对老年股骨骨折手术患者进行全身麻醉,在12 h后有显著疗效,具有临床价值意义,值得临床推广。
[Abstract]:Objective to investigate the effect of general anesthesia and epidural anesthesia on short-term cognitive function of elderly patients with femoral fractures. Methods 100 cases of femoral fractures were treated by open reduction and internal fixation. According to different anesthesia methods, the patients were divided into general anesthesia group and epidural anesthesia group, each 50 cases. Analysis and comparison of the two groups of patients related to the situation. Results there was no significant difference in heart rate and mean arterial pressure between the two groups (P0.05). The mental status of 24 and 72 h patients in the epidural anesthesia group was significantly higher than that in the general anesthesia group, the difference was statistically significant (P0.05). Conclusion general anesthesia for the elderly patients with femoral fracture surgery has a significant effect after 12 h, which is of clinical value and is worthy of clinical application.
【作者单位】：河南省平顶山平煤神马医疗集团总医院;
【分类号】：R614
【正文快照】： 在现代的临床研究治疗中,患者进行手术治疗后会出现精神功能障碍,这种情况主要出现在老年患者群体,临床症状表现为人格改变、记忆力减退、精神错乱。1　资料与方法1.1　一般资料　选取本院2014年6~12月接受治疗的100例行股骨骨折切开复位内固定患者,经过检测分析,均符合诊断标

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