麻醉对老年患者术后认知功能障碍的影响  

Effect of Anaesthesia on Postoperative Cognitive Dysfunction of Elderly Patients

作　　者：王育东[1] 

机构地区：[1]资中县人民医院,四川资中641200

出　　处：《实用医技杂志》2008年第32期4526-4527,共2页Journal of Practical Medical Techniques

摘　　要：目的:探讨麻醉对老年患者术后认知功能障碍(POCD)的影响。方法:将纳入标准行择期手术的老年病人,从术前是否应用抗胆碱能药物、麻醉方法、麻醉药物、是否术后镇痛、是否入住ICU、合并其他急、慢性疾病进行研究,记录发生术后认知功能障碍的例数。结果:400例患者亚组组间比较全身麻醉、入住ICU和合并其他疾病POCD发生率明显更高,有显著统计学意义;术前应用抗胆碱能药物、术后镇痛与相应组间比较也有统计学差异。结论:围麻醉期老年患者POCD发生与术前应用抗胆碱能药物、麻醉方法、术后镇痛、入住ICU与合并其他疾病密切相关。Objective To explore the effect of anaesthesia on postoperative cognitive dysfunction (POCD)of elderly pa-tients.Methods 400 elderly patients undergoing selected surgery received analysis,and recorded cases of POCD from pre-anaesthesia medication,anaesthetic methods,anaesthetic agents,whether or not ICU,postoperative analgesia and complication. Results The incidence rate of POCD of general anaesthesia,ICU and complication obviously increased,it was significant dif-ference.Compared with group,preanaesthesia ...

关 键 词：麻醉 老年患者 术后认知功能障碍 

分 类 号：R614.1[医药卫生—麻醉学]