不同麻醉方式对老年患者髋关节置换术后短期认知功能的影响

发布时间：2018-05-17 02:35

本文选题：术后认知障碍 + 麻醉　；参考：《中国老年学杂志》2017年06期

【摘要】：目的探讨老年患者髋关节置换术采用不同麻醉方式对认知功能的短期影响。方法选择美国麻醉医师协会(ASA)评分I~Ⅲ级、行髋关节置换术的老年患者120例,随机分为3组:A组行硬膜外麻醉、B组行全身麻醉、C组行全麻复合硬膜外麻醉,通过MMSE评分统计认知功能障碍(POCD)发生率,比较3种麻醉方式对术后认知功能的影响。结果 A组患者在手术后6 h、24 h及3 d时POCD发生率均明显低于B组(P0.05),C组患者在手术后3 d时POCD发生率明显低于B组(P0.05),但在其他测量时段和B组差异无统计学意义(P0.05);手术后7 d时POCD发生率各组之间差异无统计学意义(P0.05)。结论采用硬膜外麻醉能降低老年髋关节置换术患者术后短期POCD的发生率;全麻复合硬膜外麻醉对认知功能影响大于单纯全麻,但其恢复到术前水平时间较短。
[Abstract]:Objective to investigate the short-term effects of hip replacement on cognitive function in elderly patients. Methods 120 elderly patients with hip arthroplasty were randomly divided into 3 groups: group B: general anesthesia combined with epidural anesthesia, group B: general anesthesia combined with epidural anesthesia. The incidence of cognitive impairment was analyzed by MMSE score, and the effects of three anesthetic methods on postoperative cognitive function were compared. Results the incidence of POCD in group A was significantly lower than that in group B at 24 h and 3 d after operation. The incidence of POCD in group C was significantly lower than that in group B at 3 days after operation, but there was no significant difference between group B and group B in other measurement periods. At 7 days after operation, there was no significant difference in the incidence of POCD among the groups (P 0.05). Conclusion epidural anesthesia can reduce the incidence of short-term POCD in elderly patients with hip arthroplasty, general anesthesia combined with epidural anesthesia has a greater effect on cognitive function than general anesthesia alone, but the recovery time to preoperative level is shorter.
【作者单位】：邢台市人民医院麻醉科;邢台市人民医院头颈乳腺外科;
【分类号】：R614

【相似文献】