全身麻醉与硬膜外复合麻醉继以术后硬膜外镇痛对老年患者非心脏手术后早期认知功能的影响比较  

Comparison of the Effects of General Anesthesia and Epidural Combined Anesthesia on Postoperative Early Cognitive Function in Elderly Patients with Postoperative Epidural Analgesia

作　　者：隋金玲 邓蓉蓉[1] 

机构地区：[1]常州市武进人民医院麻醉科,213000

出　　处：《中国卫生标准管理》2015年第26期150-151,共2页China Health Standard Management

摘　　要：目的：探讨全身麻醉与硬膜外复合麻醉继以术后硬膜外镇痛对老年患者非心脏手术后早期认知功能的影响。方法选择2011年01月～2014年12月在我院进行非心脏手术的老年患者115例分为对照组和观察组，观察组60例患者接受全身麻醉与硬膜外复合麻醉和术后硬膜外镇痛，对照组55例患者仅接受全身麻醉和术后静脉镇痛。观察两组患者术后神经及精神功能等各项指标，就患者术后早期认知功能情况作对比分析。结果观察组和对照组患者在术后七天的认知功能障碍发生率为51.67%（31/60）、49.09%（27/55）。结论在进行非心脏手术后，老年患者会因外科手术与受教育时间短而出现一定的早期认知功能障碍，而全身麻醉与硬膜外复合麻醉继以术后硬膜外麻醉镇痛对老年患者早期认知功能的影响差异不明显。Objective To probe into the effect of general anesthesia and epidural combined anesthesia on postoperative early cognitive function in elderly patients with postoperative epidural analgesia. Methods 115 patients who accepted heart operation treatments in our hospital from January, 2011 to December, 2014 and these patients were randomly divided into the control group and the observation group.In the observation group of 60 patients were received general anesthesia and epidural combined anesthesia and postoperative epidural analgesia while in the control group of 55 patients were received general anesthesia and intravenous analgesia after surgery. Then, the postoperative neurological and mental function and other indicators of two groups of patients were observed and the early postoperative cognitive function of patients was comparative analyzed.Results The incidence of cognitive dysfunction seven days after surgery in the observation group and control group was 51.67% （31/60） and 49.09% （27/55）.Conclusion After non cardiac surgery, the elderly patient wil have some early cognitive dysfunction due to surgical operation and education, while the effect of epidural anesthesia and epidural anesthesia on early cognitive function in elderly patients is not obvious.

关 键 词：全身麻醉 硬膜外麻醉 静脉镇痛 非心脏手术 

分 类 号：R614[医药卫生—麻醉学]