中西医结合治疗老年患者全身麻醉术后认知功能障碍的临床效果

发布时间：2018-06-18 20:24

本文选题：全身麻醉 + 认知功能障碍　；参考：《辽宁中医杂志》2017年08期

【摘要】：目的:研究旨在评估中西医结合治疗老年患者全身麻醉术后认知功能障碍的临床效果。方法:2012年1月—2015年12月,在该院接受全身麻醉的非心脏外科手术后发生轻度认知功能障碍的患者120例,根据治疗方法的不同,将其分为对照组和观察组,每组各60例,对照组的患者接受了常规西医治疗,观察组的患者在常规西医治疗的基础上,采用补肾益气活血化痰方剂治疗,分别于术前、术后7 d以及术后14 d对患者的认知功能进行评价。结果:两组患者在术前和术后7 d的MMSE和MOCA得分差异无统计学意义(P0.05);第14天的MMSE和MOCA得分差异有统计学意义(P0.05),观察组的MMSE和MOCA得分明显高于对照组(P0.05)。结论:中西医结合治疗可以有效地改善全身麻醉后的认知功能障碍,值得在临床大力推广应用。
[Abstract]:Objective: to evaluate the clinical effect of integrated traditional Chinese and western medicine in the treatment of cognitive dysfunction in elderly patients after general anesthesia. Methods: from January 2012 to December 2015, 120 patients with mild cognitive impairment were divided into control group (n = 60) and observation group (n = 60). The patients in the control group received routine western medicine treatment, while the patients in the observation group were treated with the prescription of tonifying kidney, tonifying qi, activating blood circulation and resolving phlegm on the basis of routine western medicine treatment. The cognitive function was evaluated 7 days after operation and 14 days after operation. Results: there was no significant difference in MMSE and MOCA scores between the two groups before operation and 7 days after operation (P 0.05), but on the 14th day there was a significant difference in MMSE and MOCA scores between the two groups (P 0.05). The MMSE and MOCA scores in the observation group were significantly higher than those in the control group (P 0.05). Conclusion: integrated traditional Chinese and western medicine therapy can effectively improve cognitive dysfunction after general anesthesia, which is worth popularizing in clinic.
【作者单位】：牡丹江医学院第二附属医院;
【基金】：黑龙江省卫生计生委科研课题(2014-202)
【分类号】：R614.2

【相似文献】