下肢手术老年患者术前认知功能损害对术后转归的影响

发布时间：2018-05-06 02:03

本文选题：认知功能损害 + 术后转归　；参考：《临床麻醉学杂志》2017年04期

【摘要】：正术前危险因素分层可有效预测患者的预后,如术前合并心脏、肺脏、肝脏或肾脏功能异常的患者术后常伴有不良反应增加,甚至死亡率增加~([1~4])。但术前脑功能异常,如认知功能损害,对老年患者预后的影响目前尚不明确。本研究观察术前认知功能损害对行下肢手术老年患者术后转归的影响。资料与方法一般资料本研究经医院伦理委员会批准,患者及家属均签署知情同意书。选择2012年12月至2015年1月择期在椎管内麻醉下行下肢手术的老年患者,年龄65~90岁,
[Abstract]:Preoperative risk factor stratification can effectively predict the prognosis of patients, such as preoperative patients with abnormal heart, lung, liver or kidney function, often accompanied by an increase in adverse reactions, and even increased mortality ([1] 4]. However, the influence of preoperative brain dysfunction, such as cognitive impairment, on the prognosis of elderly patients is unclear. The purpose of this study was to observe the effect of preoperative cognitive impairment on postoperative outcome in elderly patients undergoing lower limb surgery. Materials and methods General data this study was approved by the Hospital Ethics Committee and informed consent was signed by patients and family members. Elderly patients, aged 65 to 90 years, who underwent lower extremity surgery under intraspinal anesthesia from December 2012 to January 2015, were selected.
【作者单位】：南京大学医学院南京总医院麻醉科;东南大学附属中大医院麻醉科;
【分类号】：R614

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