麻醉方法对术后老年患者认知功能的影响  

Effect of Enesthesia Methods on Postoperative Cognitive Function of Elderly Patients

作　　者：刘敦花[1] 刘海燕[1] 

机构地区：[1]黑龙江省医院麻醉科,黑龙江哈尔滨150036

出　　处：《中国卫生标准管理》2016年第9期193-194,共2页China Health Standard Management

摘　　要：目的对比硬膜外麻醉和芬太尼全身麻醉对老年患者术后认知功能的影响。方法从我院选取24例患者,随机平均分为研究组和对照组,研究组患者采用硬膜外麻醉,对照组患者则使用芬太尼全身麻醉。并在术后2周后和3周后通过简易精神状态检查(MMSE)检查患者认知情况进行对比。结果使用硬膜外麻醉的患者,术后认知功能障碍的发生率低于芬太尼全身麻醉患者。结论芬太尼全身麻醉对患者术后认知情况影响较大,而硬膜外麻醉方式可以有效减少患者出现术后认知功能障碍的情况。Objective To compare the effect of epidural anesthesia and fentanyl anesthesia on postoperative cognitive function of elderly patients. Methods 24 cases of patients were selected from our hospital and were randomly divided into study group which was treated with epidural anesthesia, control group which was used about fentanyl anesthesia, to compare cognitive examination by the mini mental state examination（MMSE） after 2 and 3 weeks. Results The postoperative cognitive dysfunction rate of the use of epidural anesthesia was significantly lower than that of fentanyl anesthesia. Conclusion The great influence on the cognition of patients with postoperative fentanyl anesthesia and epidural anesthesia method can effectively reduce the occurrence rate of patients with postoperative cognitive dysfunction.

关 键 词：术后认知功能障碍 麻醉 影响 

分 类 号：R614[医药卫生—麻醉学]