受教育程度对老年患者术后认知功能的影响  

Effects of education on postoperative cognitive function in elderly patients

作　　者：孙海军[1] 梁淑娟[1] 

机构地区：[1]河北省秦皇岛市第一医院麻醉科,066000

出　　处：《重庆医学》2010年第23期3248-3249,共2页Chongqing medicine

摘　　要：目的探讨受教育程度不同与老年患者术后认知功能障碍的相关性。方法选择60例择期行骨科全麻手术的患者,ASAⅠ-Ⅱ级,术前无神经精神系统疾病史,无服用相应药物史,近1个月内未服用脑血管扩张药物。按受教育程度分为9年以上组（A组）,5-9年组（B组）,5年及其以下组（C组）,各组均20例。用简易智能量表（MMS）的方法评估认知功能。结果 3组患者术后12 h发生认知功能障碍比率分别为10%（2/20）、20%（4/20）和35%（7/20）,差异有统计学意义（P〈0.05）。结论受教育程度高的患者术后发生认知功能障碍的比率明显低于受教育程度低的患者。Objective To investigate the correlation between education and postoperative cognitive function of elderly patients.Methods 60 patients from surgery of orthopedic department,ASA Ⅰ～Ⅱ,undergoing general anesthesia.They have no neuropsychiatric disease or history of taking correspording medicines and other vasodilator medicines.The patients were divided into 3 groups according to dgree of education（n=20 each）,group A received education years≥9;group B received education years 5-9;group C received education years≤5.Mini-Mental state（MMS）was used to survey the patient′s congnitive function.Results The incidence of postoperative cognitive dysfunction was 2/20（10%）、4/20（20%）and 7/20（35%）respectively of 3 groups 12 hours after operation.Conclusion The incidence of postoperative cognitive dysfunction of patients received more education lower than those received little education.

关 键 词：教育 认知障碍 老年人 

分 类 号：R749.1[医药卫生—神经病学与精神病学]