不同麻醉管理方式对老年术后认知功能的影响分析  

Analysis of the Influence of Different Anesthesia Management Modes on Postoperative Cognitive Function in Elderly Patients

作　　者：陆叶兰[1] 周英[1] 王静[1] 徐莹华[1] 沈弘[1] 蒋晖[1] 

机构地区：[1]复旦大学附属中山医院青浦分院麻醉科,上海201700

出　　处：《中国卫生产业》2015年第22期70-71,共2页China Health Industry

摘　　要：目的探究不同的麻醉管理方式对老年术后患者认知功能预后的影响。方法临床纳入2011年6月—2013年3月间在该院进行手术的老年患者144例,按随机投掷法进行分组,对照组72例患者行全身麻醉,研究组72例患者行硬膜下麻醉,探究两组患者术后认知功能评分情况。结果手术前研究组MMSE评分与对照组基本无差异(P>0.05)。手术后1 d,研究组MMSE评分与对照组对比结果有意义(P>0.05)。手术后一周,研究组MMSE评分与对照组对比结果有意义(P>0.05)。结论对老年患者实施局部的硬膜外麻醉明显好于全身麻醉,有效地降低了患者术后认知功能的障碍程度,值得临床运用与普及。Objective To explore the effect of different anesthesia management mode on the prognosis of patients with post-operative cognitive function in elderly patients. Methods 144 elderly patients who underwent surgery in our hospital from March 2013 to June 2011 were randomly divided into 72 groups. The control group was treated with epidural anesthesia, and the score of cognitive function was studied in two patients. Results There was no difference between the MMSE score and the control group （P〉0.05）. One day after surgery, the MMSE score in the study group was compared with the control group （P〉0.05）. A week after surgery, the MMSE score in the study group was compared with the control group（P〉0.05）. Conclusion local epidural anesthesia for elderly patients is significantly better than general anesthesia, effectively reducing the level of postoperative cognitive function of patients, it is worthy of clinical application and popularization.

关 键 词：麻醉管理 老年患者 认知功能 影响 

分 类 号：R614[医药卫生—麻醉学]