全身麻醉与椎管内麻醉对老年骨科手术患者术后认知功能的影响

发布时间：2018-05-01 11:05

本文选题：骨科手术 + 老年　；参考：《中国全科医学》2017年S2期

【摘要】：目的探讨全身麻醉与椎管内麻醉对老年骨科手术患者术后认知功能的影响。方法选取苍南县人民医院2014年12月—2016年10月收治的老年骨科手术患者92例,随机分为对照组和试验组,各46例。对照组患者采用全身麻醉,试验组患者采用椎管内麻醉。比较两组患者术中出血量、手术时间及语言陈述时间;术后1.5、2.5、5.5、11.5、24 h简易精神状态检查量表(MMSE)评分,并观察患者低血压发生情况。结果两组患者术中出血量比较,差异无统计学意义(P0.05);试验组患者手术时间、语言陈述时间短于对照组(P0.05)。术前,两组患者MMSE评分比较,差异无统计学意义(P0.05);术后1.5、2.5、5.5、11.5、24 h,试验组患者MMSE评分高于对照组(P0.05)。试验组患者低血压发生率低于对照组(P0.05)。结论与全身麻醉相比,椎管内麻醉可有效缩短老年骨科手术患者手术时间及语言功能恢复时间,对其认识功能影响小,且安全性较高。
[Abstract]:Objective to investigate the effect of general anesthesia and intraspinal anesthesia on postoperative cognitive function in elderly patients undergoing orthopaedic surgery. Methods 92 cases of senile orthopedic surgery admitted in Cangnan County people's Hospital from December 2014 to October 2016 were randomly divided into control group (n = 46) and experimental group (n = 46). The patients in the control group were treated with general anesthesia, and the patients in the experimental group were treated with intraspinal anesthesia. The blood loss, operative time and speech statement time were compared between the two groups, and the MMSE scores of the patients with hypotension were observed. Results there was no significant difference in the amount of intraoperative bleeding between the two groups, but the time of operation and speech presentation in the trial group was shorter than that in the control group. There was no significant difference in MMSE score between the two groups before operation, but there was no significant difference between the two groups (P 0.05), and the MMSE score in the trial group was higher than that in the control group (P 0.05). The incidence of hypotension in the trial group was lower than that in the control group (P 0.05). Conclusion compared with general anesthesia, spinal canal anesthesia can effectively shorten the operative time and the recovery time of speech function in the elderly patients with orthopaedic surgery, and has less influence on their cognitive function and higher safety.
【作者单位】：浙江省苍南县人民医院麻醉科;
【分类号】：R614

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