Waist hard joint anesthesia General anesthesia Elderly patie

  本文关键词：老年患者非心脏手术不同麻醉方法的临床分析，由笔耕文化传播整理发布。

老年患者非心脏手术不同麻醉方法的临床分析

A Clinical Analysis of the Effect of Different Anaesthesia Methods on Elderly Patients with Non-Cardiac Surgery

[1]

CAO Yun （Dept. of Anesthesiology, Kunming Yah＇an Hospital, Kunming Yunnan 650051, China）

昆明市延安医院麻醉科,云南昆明650051

文章摘要：目的分析不同麻醉方法在老年患者行非心脏手术中的镇痛效果和对患者术后早期认知功能的影响.方法以收治的100例行非心脏手术的老年患者为研究对象,依据不同的麻醉方法将患者分为a组和b组,其中a组为全身麻醉患者,b组为腰硬联合麻醉患者.比较两组患者术后镇痛情况、术前术后MMSE量表评分、术后7d认知功能障碍的发生情况.结果 a组术后视觉模拟评分优于b组,但b组术后MMSE量表评分以及认知功能障碍发生情况优于a组,比较差异有统计学意义（P〈0.05）.结论麻醉方法影响术后镇痛效果和认知功能,不同的麻醉方式具有不同的镇痛效果、认知功能障碍影响,临床应进一步深入研究,寻找最佳麻醉方式.

Abstr：Objective To analyze the analgesic effect and its influence on early postoperative cognitive function of different anesthetic methods in elderly patients with non- cardiac surgery. Methods We randomly selected 100 elderly patients with non- cardiac surgery as the research subjects. Patients were divided into group a and group b according to the different methods of anesthesia; general anesthesia was used in group a and waist hard joint anesthesia was used in group b. We compared the postoperative analgesic effect, postoperative and preoperative MMSE scale score and the incidence of postoperative cognitive dysfunction 7 days after operation. Results The postoperative visual analogue scale of patients in group a was better than that of group b,but the MMSE scale score and postoperative cognitive dysfunction in group b was better than that of group a. The difference between the two groups was statistically significant（P〈0.05）. Conclusions Anesthesia methods may influence the postoperative analgesia effect and cognitive function. Different anesthesia methods have different effects on analgesic effect and cognitive dysfunction. Doctors and researchers should study and find further in- depth methods of administering anesthesia.

文章关键词：

Keyword：:Waist hard joint anesthesia General anesthesia Elderly patients Non-cardiac surgery

作者信息：会员可见

  本文关键词：老年患者非心脏手术不同麻醉方法的临床分析，，由笔耕文化传播整理发布。