全麻方式选择对全子宫切除术患者术后运动和认知功能恢复影响分析  

The effect of different general anesthesia modes on postoperative exercise and cognitive function recovery of women experienced total hysterectomy

作　　者：顾玲玲[1] 李建春 GU Lingling;LI Jianchun(Shengze Branch Hospital of Jiangsu Provincial People＇s Hospital,Suzhou,Jiangsu,215228)

机构地区：[1]江苏省人民医院盛泽分院,苏州215228

出　　处：《中国计划生育学杂志》2018年第9期811-814,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨不同全麻方式行全子宫切除术后对患者运动和认知功能恢复的影响。方法:选择2016年3月—2017年9月本院住院治疗行全子宫切除术的患者126例为研究对象,按照随机数字表法将其分为两组各63例,分别采用全静脉麻醉法(单一麻醉组)或全麻联合硬膜外阻滞(联合麻醉组)。记录两组患者清醒和拔管时间,术中监测患者的脉搏血氧饱和度(SpO2)、血压(HP)、心率(HR)、平均动脉压(MAP)等指标,评定患者认知功能和运动功能。结果:两组患者清醒时间和拔管时间无差异,术中SpO_2、HP、HR、MAP等指标比较无差异,术后认知功能和运动功能比较无差异(均P>0.05)。结论:不同全麻方式选择对全子宫切除术患者术后运动和认知功能恢复无明显影响,临床上可根据患者自身情况选择合适的全麻方式手术。Objective： To investigate the effect of different general anesthesia modes on postoperative exercise and cog- nitive function recovery of women experienced total hysterectomy. Methods： A total of 126 women who underwent to tal hysterectomy in Shengze branch hospital of Jiangsu provincial people＇s hospital from March 2016 to September 2017 were selected as subjects. According to the random number table method, all included women were divided into group A and group B （63 cases in each group）. Women in Group A were given total intravenous anesthesia, and women in group B were given general anesthesia combined with epidural block. Postoperative waking time and extubation time of all women were recorded. Pulse blood oxygen saturation （SpO2）, blood pressure （HP）, heart rate （HR）, average ar- terial pressure （MAP） and other indicators were closely monitored during the operation, the recovery of cognitive and motor function of the women were evaluated. Results： There were no significant difference in postoperative waking time and extubation time between the two groups （P〉0.05）. There were also no statistical significant difference in SpO2, HP, HR, MAP and other indicators between the two groups （P〉0. 05）, and there were no statistical signifi- cant difference in recovery of postoperative cognitive function and motor function between the two groups （P〉0.05）. Conclusion： When women accepting total hysterectomy, there are no different effect on recovery of postoperative exer- cise and cognitive function among different general anesthesia modes, so it was clinically feasible to select the appropri- ate ~：eneral anesthesia according to women＇s own situation.

关 键 词：全子宫切除术 运动功能 认知功能 全麻 功能恢复 

分 类 号：R614.2[医药卫生—麻醉学]