蒙特利尔认知评估量表对老年妇科手术术后认知功能的调查研究  

Montreal Cognitive Assessment of Elderly Gynecological Postoperative Cognitive Function Research

作　　者：冯晓萍[1] 段军[1] 柯爱红[1] 孙磊[1] 

机构地区：[1]湖北省黄石市中心医院,湖北黄石435000

出　　处：《中国医药指南》2013年第20期444-445,共2页Guide of China Medicine

摘　　要：目的探讨蒙特利尔认知评估量表(MoCD)不同麻醉方法(全麻、局麻)下在术后认知功能障碍(POCD)的影响。方法应用蒙特利尔认知评估量表(MoCD)对326例术后二年老龄。患者进行回访调查。其中全麻组205例(实验组);局麻组121例患者(对照组)进行神经心理评估,比较二者的POCD的结果特点及差异性。结果全麻组发生POCD比较局麻组POCD有明显差异性(表1)P<0.05,全麻组与实验组蒙特利尔认知评估量表(MoCA)评分比较可知除抽象思维,地点定向二项指标外均项都P<0.05。结论 MoCA为高敏感性POCD评估工具,能全面评估术后患者的认知功能,且能评估较早POCD患者,有利于及时针对性治疗。对于老年患者手术麻醉方式尽可能选择局部麻醉方法。Objective To investigate the Montreal Cognitive Assessment （MoCD） different anesthetic techniques （general anesthesia, local anesthesia） in postoperative cognitive dysfunction （postoperative cognitive dysfunction, POCD）. Methods Application Montreal Cognitive Assessment （MoCD） of 326 patients two years of aging. Patient return visit survey. 205 cases of general anesthesia group （experimental group）; anesthesia group, 121 patients （control group） neuropsychological assessment the POCD the results of the comparison of both features and differences. Results Anesthesia group, the POCD compare local anesthesia group POCD significant differences （see Table 1）, P〈0.05, Anesthesia group and the experimental group Montreal Cognitive Assessment （MoCA） score in addition to abstract thinking, place directed two indicators are P〈0.05. Conclusion MoCA for high-sensitivity the POCD assessment tools, a comprehensive assessment of postoperative cognitive function, and can assess earlier POCD patients, facilitates timely and targeted therapies. Surgery anesthesia for elderly patients as much as possible to select the method of local anesthesia.

关 键 词：蒙特利尔评估量表 术后认知功能障碍 麻醉 

分 类 号：R614[医药卫生—麻醉学]