不同的全身麻醉方法对手术患者术后早期认知功能的影响

发布时间：2018-04-11 23:04

本文选题：全凭静脉麻醉 + 静吸复合麻醉　；参考：《当代医药论丛》2016年14期

【摘要】：目的 :探讨分析进行全凭静脉麻醉和静吸复合麻醉对手术患者术后早期认知功能的影响。方法 :选取2014年8月至2015年7月间我院收治的95例需要接受全身麻醉的手术患者作为研究对象,采用随机数表法将其分为A组(48例)和B组(47例),为A组患者进行全凭静脉麻醉,为B组患者进行静吸复合麻醉,然后观察对比两组患者术后早期的认知功能评分,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果 :在术毕1h~6h、术毕6h~12h及术毕24h后,两组患者MMSE评分之间的差异均不具有统计学意义(P0.05)。在术毕12h~24h,A组患者的MMSE评分明显高于B组患者,差异具有统计学意义(P0.05)。结论 :进行全身麻醉会对患者术后早期的认知功能产生一定的不良影响。但与接受静吸复合麻醉的患者相比,接受全凭静脉麻醉的患者认知功能的恢复速度更快。
[Abstract]:Objective: to investigate the effect of total intravenous anesthesia and combined intravenous anesthesia on early postoperative cognitive function.Methods: from August 2014 to July 2015, 95 patients undergoing general anesthesia in our hospital were selected as study subjects.The patients in group A were divided into group A (n = 48) and group B (n = 47). The patients in group A were given total intravenous anesthesia and those in group B were anesthetized by intravenous anesthesia. The scores of cognitive function in the early postoperative period were observed and compared between the two groups.The comparative results and clinical data of the two groups were analyzed retrospectively.Results: there was no significant difference in MMSE scores between the two groups at 1h, 6h, 6h~12h and 24h after operation (P 0.05).The MMSE score of group A was significantly higher than that of group B at 12 h or 24 h after operation, and the difference was statistically significant (P 0.05).Conclusion: general anesthesia may have a negative effect on early cognitive function after operation.But the cognitive function of the patients undergoing intravenous anesthesia was faster than that of the patients undergoing intravenous anesthesia.
【作者单位】：河北省临西县医院麻醉科;
【分类号】：R614.2

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