俯卧位对全身麻醉下骨科手术患者术后认知功能的影响研究

发布时间：2018-01-10 05:11

本文关键词：俯卧位对全身麻醉下骨科手术患者术后认知功能的影响研究　出处：《中国农村卫生事业管理》2016年03期 　论文类型：期刊论文

【摘要】：目的:探究俯卧位对全身麻醉下骨科手术患者术后认知功能的影响。方法:选取2013年1月-2014年12月宁波市鄞州区二院收治的122例骨科手术患者作为研究对象,根据手术体位选择的不同,将患者分为俯卧组与仰卧组,观察两组患者麻醉前后的认知功能情况,并分析这种体位选择的不同对认知功能造成的影响。结果:两组患者麻醉后血流动力学指标无明显差别,差异无明显的统计学意义(P0.05),仰卧组麻醉恢复情况要显著优于俯卧组,各项基本情况的恢复时间均短于俯卧组,两组患者术前MMSE评分无明显差异,治疗后6h开始,仰卧组的MMSE评分均要显著高于俯卧组,以上差异有明显的统计学意义(P0.05)。结论:术后两组患者均会出现不同程度上的认知功能差异,但俯卧组的认知障碍发生率较高,认知功能评分低于仰卧组,且恢复时间也慢于仰卧组,因此在对骨科患者实施手术时,应合理地选择手术体位,保证患者术后的生活质量。
[Abstract]:Objective: To explore the effect of cognitive function in patients undergoing anesthesia in prone position after surgery under Department of orthopedics on the body. Methods: from January 2013 December -2014 in Ningbo Yinzhou District city hospital treated 122 cases of Department of orthopedics surgery patients as the research object, according to the choice of different surgical position, the patients were divided into supine and prone position group group, to observe the cognitive function before and after anesthesia two groups of patients, and to analyze the impact of the choice of different postures on cognitive function caused. Results: no significant difference of hemodynamic indexes of two groups of patients after anesthesia, the difference was not statistically significant (P0.05), supine group anesthesia recovery was significantly better than the prone group, the basic recovery time were shorter than the prone position group, two groups of patients with no significant difference in MMSE score before and after treatment 6h, supine group MMSE scores were significantly higher than the prone position group was, significantly more than the difference Meaning (P0.05). Conclusion: after the operation of two groups of patients there will be differences on cognitive function, but cognitive impairment group prone high incidence of cognitive function score was lower than that in the supine group, and the recovery time is slower than the supine group, so in the implementation of the surgery of Department of orthopedics patients, it should be reasonable to select the operation position to ensure that the quality of life after surgery.

【作者单位】：浙江省宁波市鄞州区二院麻醉科;浙江省宁波市李惠利东部医院麻醉科;
【分类号】：R614
【正文快照】： 全麻手术术后认知功能障碍是一种常见的临床症状,术后认知功能障碍属于神经系统并发症的一种[1]。其主要表现为患者在术后可出现精神活动、人际交往以及事物认知等方面的障碍[2]。一般这种症状均会在术后一段时间内自行消失,但其同样会严重降低患者术后的生活质量,因此术后认

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