不同麻醉方法对老年患者术后认知功能的影响  

Effect of Different Anesthetic Methods on Postoperative Cognitive Function in Elderly Patients

作　　者：张惠[1] 

机构地区：[1]吉林省人民医院麻醉科,吉林长春130021

出　　处：《中国继续医学教育》2017年第30期36-37,共2页China Continuing Medical Education

摘　　要：目的探讨不同麻醉方法对老年患者术后认知功能的影响。方法选取我院2016年6月—2017年6月收治的96例行手术治疗老年患者,将其随机分成A、B两组,各48例,A组实施全身麻醉,B组实施硬膜外麻醉,比较两组患者术后认知功能恢复情况及围手术期情况。结果 B组患者术后1 d和术后7 d简易智能评价量表(MMSE)评分比较高于A组(P<0.05),B组患者术后认知功能障碍发生率22.92%,低于A组的43.75%(P<0.05)。结论全身麻醉和硬膜外麻醉均会对老年患者产生术后认知功能影响,而前者影响程度更高,因此在临床中首推硬膜外麻醉。Objective To investigate the effect of different anesthetic methods on the postoperative cognitive function of the elderly patients. Methods From June 2016 to June 2017, 96 cases of elderly patients in our hospital were selected, and randomly divided into two groups of A and B, 48 cases in each group. General anesthesia was performed in group A, and epidural anesthesia was carried out in group B. The recovery of cognitive function and the perioperative period were compared between the two groups. Results The score of 1 d after operation and 7 d after operation in group B was higher than that in group A （P 〈 0.05）. The incidence of cognitive dysfunction after operation in group B was 22.92%, which was lower than 43.75% that in group A （P 〈 0.05）. Conclusion General anesthesia and epidural anesthesia can influence postoperative cognitive function in elderly patients, and the former has a higher degree of influence. Therefore, epidural anesthesia is the first choice in clinical practice.

关 键 词：全身麻醉 硬膜外麻醉 老年 认知功能 

分 类 号：R614[医药卫生—麻醉学]