糖尿病患病时间长短对老年患者术后认知功能的影响  

Diabetes Duration of Postoperative Cognitive Function in Elderly Patients

作　　者：罗金涛[1] 郭旋[1] 杨志萍[1] 

机构地区：[1]上海市杨浦区中心医院麻醉科,上海200090

出　　处：《中国医药指南》2013年第9期8-9,共2页Guide of China Medicine

摘　　要：目的探讨糖尿病患者患病时间长短对老年患者全身麻醉下行妇科手术后认知功能的影响。方法择期经全身麻醉下行妇科手术的糖尿病患者90例,ASAI～Ⅱ级,年龄65～80岁,按患糖尿病时间长短分为10年以上组(A组),5～9年组(B组),5年及其以下组(C组),各组均30例。用简易智能量表(MMSE)评估术前、术后8h、24h、3d的认知功能。结果三组患者术后24 h发生认知功能障碍比率分别为16.67%(5/30)、6.67%(2/30)和3.33%(1/30),差异有统计学意义(P<0.05)。结论糖尿病患病时间长术后发生认知功能障碍的比率明显高于糖尿病患病时间短的患者。Objective To investigate the duration of diabetes prevalence in patients on cognitive function in elderly patients with gynecological surgery under general anesthesia.Methods General anesthesia for elective gynecological surgery,90 cases of diabetic patients,ASA I ~Ⅱ grade,age 65 to 80 years of age,according to the length of the diabetes time group（A） is divided into more than 10 years,5 to 9 years group（B group）,group（C） of five years and below,each group of 30 cases.Simple Intelligent Examination（MMSE） assess preoperative and postoperative 8h,24h,3d cognitive function.Results The three groups of patients 24 h rate of cognitive dysfunction were 16.67%（5/30）,6.67%（2/30） and 3.33%（1/30）,the difference was statistically significant（P0.05）.Conclusion The duration of diabetes long postoperative cognitive dysfunction ratio was significantly higher than that in patients with short duration of diabetes.

关 键 词：糖尿病 术后认知功能 老年人 

分 类 号：R587.1[医药卫生—内分泌]