两种麻醉方式对老年患者行全髋关节置换术后早期认知功能的影响

发布时间：2018-03-07 15:22

本文选题：全髋关节置换术　切入点：术后认知功能障碍　出处：《宁波大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的探讨全身麻醉与腰麻对老年患者行全髋关节置换术后早期认知功能障碍(POCD)发生率的影响。方法选择2015年2月至2016年2月84例在我院行择期全髋关节置换术老年患者随机分为全麻组与腰麻组。于术后第7天使用简易精神状态检查(MMSE)量表评价认知功能,记录评分并使用“Z计分法”进行POCD诊断。结果全麻组与腰麻组术后第7天POCD发生率分别为27.0%与17.9%,差异无统计学意义(P0.05)。POCD独立危险因素为高龄(OR 1.250,95%CI 1.119-1.398)与低教育水平(OR 5.747,95%CI 1.261-26.185)。结论全身麻醉与腰麻对行全髋关节置换术老年患者术后早期POCD发生率的影响无显著差异;高龄与低教育水平为POCD独立危险因素。
[Abstract]:Objective to investigate the effect of general anesthesia and spinal anesthesia on the incidence of early cognitive dysfunction (POCD) after total hip replacement in elderly patients. Methods 84 patients with elective total hip replacement were selected from February 2015 to February 2016 in our hospital. The patients were randomly divided into general anesthesia group and spinal anesthesia group. On the 7th day after operation, the cognitive function was evaluated with MMSE scale. Results the incidence of POCD in general anesthesia group and spinal anesthesia group was 27.0% and 17.9 respectively on the 7th day after operation. There was no significant difference in the independent risk factors of POCD: old age OR 1.25095 / CI 1.119-1.398) and low education level OR (P < 0.05). Conclusion there is no significant difference between general anesthesia and spinal anesthesia on the incidence of early POCD in elderly patients undergoing total hip arthroplasty. Old age and low level of education were independent risk factors for POCD.
【学位授予单位】：宁波大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R614

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