全麻与全身-硬膜外复合麻醉对老年非心脏手术患者术后早期认知功能的影响  

Effects of general anesthesia,general compound epidural anesthesia on postoperative cognitive dysfunction in elderly patients with non-cardiac surgery

作　　者：赵同军[1] 

机构地区：[1]河南省濮阳市中医院麻醉科,457000

出　　处：《中国现代医药杂志》2014年第5期52-54,共3页Modern Medicine Journal of China

摘　　要：目的探讨不同麻醉方法对老年非心脏手术患者术后早期认知功能的影响。方法选择老年非心脏手术患者89例的临床资料进行回顾性分析。其中47例采用全麻进行手术,42例采用全身-硬膜外复合麻醉手术。分别对患者术前1天、术后7天的神经精神功能进行检测,判断不同麻醉方法对患者早期认知功能的影响。结果两组术前神经精神功能评分比较均无显著性差异,两组间术后比较也无显著性差异(P>0.05)。两组术后神经精神功能恶化情况比较差异无统计学意义(P>0.05)。结论全麻与全身-硬膜外复合麻醉对老年非心脏手术患者术后早期认知功能影响无显著性差异。Objective To discuss the effects of general anesthesia,general compound epidural anesthesia on postoperative cognitive dysfunction（POCD） in elderly patients with non-cardiac surgery. Methods The data of 89 elderly patients with non-cardiac surgery were analyzed. 47 cases received general anesthesia and 42 cases received general compound epidural anesthesia. The spirit of neural function was detected preoperation day and the 7th day after operation. The effects of general anesthesia,general compound epidural anesthesia on POCD were analyzed. Results The spirit of neural function of two groups showed no significant difference between before and after operation, and there was no significant different between two groups after operaion（P〉0.05）. Neuropsychological deficit showed no significant difference（P〉0.05）. Conclusion The effects of general anesthesia,general compound epidural anesthesia on POCD in elderly patients with non-cardiac surgery show no significant difference.

关 键 词：全麻 全身-硬膜外复合麻醉 非心脏手术 术后早期认知功能障碍 

分 类 号：R614[医药卫生—麻醉学]