针对老年全麻患者术后早期认知功能障碍的护理对策  

In elderly patients during general anesthesia on early postoperative cognitive dysfunction and nursing

作　　者：孟娜[1] 

机构地区：[1]山东省胸科医院手术室,250013

出　　处：《中国实用医药》2012年第31期193-194,共2页China Practical Medicine

摘　　要：目的探讨针对老年全麻患者术后早期认知功能障碍的护理对策对其应用效果及研究意义进行分析。方法将100例老年全麻患者简单随机化法分为对照组50例(常规护理)、观察组50例(护理对策),对照两组患者入室后、术中、术后1d、3d、5d心率、氧合、IL-6、TNF-a水平变化及MMSE评分。结果两组入室前患者心率、氧合、IL-6、TNF-a水平变化及MMSE评分比较(t=3.66、3.65、3.77、2.78、4.12、3.22,P>0.05,差异无统计学意义)。术中、术后1d、3d、5d心率、氧合、IL-6、TNF-a水平变化及MMSE评分比较(t=5.43、5.35、5.17、4.78、4.56、5.12,P<0.05,差异有统计学意义)。结论针对老年全麻患者术后早期认知功能障碍的护理对策及措施可靠能减轻老年患者应激反应等诱发认知障碍情况的发生。Objective To study of elderly patients during general anesthesia on early postoperative cognitive dysfunction after nursing countermeasures on its application effect and significance analysis.Methods 100 cases of elderly patients during general anesthesia simple randomization method is divided into 50 cases in the control group（usual care）,50 cases in observation group（Nursing）,control group two patients before,during and after the operation,1 d,3 d,5 d heart rate,oxygenation,IL-6,TNF-a level and MMSE score.Results of the two groups of the patients＇ heart rate,oxygen,IL-6,TNF-a level and MMSE score comparison（t=3.66,3.65,3.77,2.78,4.12,3.22,P0.05,no significant difference）.During and after the operation,1 d,3 d,5 d heart rate,oxygenation,IL-6,TNF-a level and MMSE score comparison（t=5.43,5.35,5.17,4.78,4.56,5.12,P0.05,with significant difference）.Conclusion Of elderly patients during general anesthesia on early postoperative cognitive dysfunction following nursing countermeasures and measures to relieve the reliable in elderly patients with stress reaction induced cognitive impairment occurs.

关 键 词：老年 全麻 认知功 护理对策 

分 类 号：R473.6[医药卫生—护理学]