中医情志干预对老年腹部手术患者术后认知功能的影响  

Effect of Traditional Chinese Medical Emotional Intervention on Cognition Function of Senile Patients After Abdominal Surgery

作　　者：方素娟[1] 曾素冰[2] 黄祥凌[1] 童志兰[1] 

机构地区：[1]广州中医药大学第二附属医院广东省中医院麻醉科,广东广州510120 [2]中山大学附属第六医院神经科,广东广州510665

出　　处：《广州中医药大学学报》2016年第1期5-8,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20121168)

摘　　要：【目的】探讨中医情志干预对老年腹部手术患者术后认知功能的影响。【方法】将70例择期全麻下腹部手术的老年患者随机分为对照组和情志组各35例。对照组给予常规围术期护理配合,情志组在常规围术期护理配合基础上对患者进行中医情志护理。运用简易智能量表(MMSE)评定并记录两组患者术前1 d及术后3 d、7 d的认知功能变化,监测患者术前、术后7 d血清S-100β蛋白水平变化。【结果】(1)情志组患者术后麻醉苏醒时间较对照组显著缩短(P<0.05);(2)第3天术后认知功能障碍(POCD)的发生率情志组显著低于对照组(P<0.05),第7天POCD的发生率2组比较差异无统计学意义(P>0.05);(3)术后7 d,2组患者的血清S-100β蛋白水平均较术前显著升高(P<0.05),但组间比较差异无统计学意义(P>0.05)。【结论】中医情志干预可缩短老年腹部手术患者麻醉苏醒时间,减少早期POCD发生率,但对术后7 d组间POCD发生率及血清S-100β蛋白水平的影响差异不明显。Objective To investigate traditional Chinese medical emotional intervention on the cognition function of senile patients after abdominal surgery. Methods Seventy senile patients having elective abdominal operation were randomized into intervention group and control group,35 cases in each group. The control group received routine peri-operative nursing,and the intervention group was given routine peri-operative nursing and emotional intervention based on the theory of traditional Chinese medicine. The cognition function was evaluated with minimental state examination（MMSE）on preoperative day 1,postoperative day 3 and 7,and serum S100β protein level was detected before operation and on postoperative day 7. Results（1）Time for recovery from general anesthesia in the intervention group was much shortened as compared with that of the control group（P〈0.05）.（2）On postoperative day 3,the incidence of postoperative cognitive dysfunction（POCD）was much lower than that of the control group（P〈 0. 0 5）,and on postoperative day 7, the difference of POCD incidence was insignificant between the two groups（P〉0.05）.（3） On postoperative day 7,serum S-100β protein level in the two groups was increased as compared with that before treatment（P〈0.05）,but the difference between the two groups was insignificant（P〈0.05）. Conclusion Traditional Chinese medical emotional intervention has an effect on shortening time for recovery from general anesthesia and decreasing POCD incidence, but has no effect on POCD incidence and serum S100β protein level on postoperative day 7.

关 键 词：中医情志护理 老年人 腹部手术 术后认知功能障碍 S-100Β蛋白 

分 类 号：R248.2[医药卫生—中医临床基础]