不同全麻方式对腹部手术患者术后认知功能影响的比较  

The comparison of different anesthesia methods on postoperative cognitive function in patients with abdominal operation

作　　者：文利东[1] 代传兴[1] 林丽[1] 周稳[2] 

机构地区：[1]成都市第六人民医院麻醉科,610051 [2]成都市第六人民医院骨科,610051

出　　处：《重庆医学》2013年第29期3508-3509,3511,共3页Chongqing medicine

摘　　要：目的分析不同全身麻醉(全麻)方式对腹部手术患者术后认知功能的影响。方法选择在该院进行腹部手术的患者418例,根据随机数字表法随机分为5组(A^E组),分别采用不同的复合全麻方式。采用简易精神状态评价量表(MMSE)量表对患者手术前后的认知功能进行分析评价。结果不同全麻方式对患者认知功能的影响持续至手术后第3天依旧存在。其中B组患者术后3h的认知得分最高,其术后认知障碍发生率亦最低。结论瑞芬太尼联合七氟醚复合全麻方式对腹部手术患者术后认知功能的影响最小。Objective To analyze the effect of different anesthesia methods for postoperative patients with abdominal operation on cognitive function .Methods A total of 418 patients with abdominal operation in this hospital were randomly divided into 5 groups（A -E） according to random numbers table ,different anesthesia methods were used before and after operation in patients . The cognitive function were analyzed and evaluated by MMSE scale .Results The influence of different ways of anesthesia on cog-nitive function in patients persistent to operation after third days still existed .The cognitive scores of patients in group B 3 hours af-ter operation were highest ,the occurrence rate of cognitive dysfunction postoperative were minimum .Conclusion The compound general anesthesia method by remifentanil and sevoflurane have minimal effects for cognitive function postoperative on abdominal operation patients .

关 键 词：麻醉 全身 腹部手术 认知功能 

分 类 号：R614[医药卫生—麻醉学]