不同麻醉方式对老年患者术后认知功能障碍的影响

发布时间：2018-03-03 02:19

本文选题：麻醉方式　切入点：老年　出处：《白求恩医学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨不同麻醉方式对老年腹部手术患者术后认知功能障碍的影响。方法选取我院采用椎管内麻醉方式进行手术患者96例,作为观察组;采用全身麻醉方法手术患者96例,作为对照组。比较两组术中情况,采用简易精神状态量表(MMSE)对麻醉前、麻醉后6 h、24 h、72 h患者精神状态评分;并比较认知功能障碍发生率。结果两组患者术中血压、心率、脉搏氧饱和度和手术时间差异均无统计学意义(P0.05),且观察组麻醉时间略短于对照组(P0.01)。两组患者术后不同时段MMSE评分均小于麻醉前(P0.05);观察组患者术后6 h、24 h及72 h三个时间段MMSE评分均高于同期对照组(P0.01)。观察组术后认知障碍发生率为19.79%,低于对照组的33.33%(P0.05)。结论椎管内麻醉在老年患者手术中使用安全可靠,术后认知障碍发生率低,适宜于老年患者使用,值得临床推广应用。
[Abstract]:Objective to investigate the effect of different anesthetic methods on postoperative cognitive dysfunction in elderly patients undergoing abdominal surgery. Methods 96 patients with spinal canal anesthesia and 96 patients with general anesthesia were selected as observation group. As the control group, the patients were assessed with MMSE before anesthesia and 24 hours after anesthesia, and the incidence of cognitive dysfunction was compared. Results the blood pressure and heart rate were compared between the two groups during operation. There was no significant difference in pulse oxygen saturation and operation time, and the anesthetic time in the observation group was a little shorter than that in the control group (P 0.01). The MMSE score of the two groups at different time after operation was lower than that before anesthesia, and that in the observation group was 24 hours and 72 hours after operation. The incidence of postoperative cognitive impairment in the observation group was 19.79, which was lower than that in the control group (33.33 and P 0.05). Conclusion Spinal anesthesia is safe and reliable in the elderly patients. The incidence of postoperative cognitive impairment is low and suitable for use in elderly patients.
【作者单位】：广东省东莞市人民医院麻醉科;
【分类号】：R614

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