老年泌尿外科手术中七氟醚吸入全麻和椎管内麻醉对患者认知功能的影响比较  

Comparison of the effects of sevoflurane inhalation anesthesia and intraspinal anesthesia on cognitive function in elderly patients undergoing surgery in department of urology

作　　者：段玉屏[1] Duan Yuping(Department of Anesthesiology,Guizhou Aerospace Hospital,Guizhou Zunyi 563100)

机构地区：[1]贵州航天医院麻醉科,563100

出　　处：《中国社区医师》2018年第25期18-18,20,共2页Chinese Community Doctors

摘　　要：目的:探讨老年泌尿手术中采用不同麻醉方式的安全性及不良影响差异。方法:收治老年泌尿科手术患者90例,随机分为两组。对照组给予七氟醚吸入全麻,观察组给予椎管内麻醉,比较两组手术情况、简易精神状况检查(MMSE)评分。结果:观察组术中输液量、术中出血量、手术耗时显著少于对照组,差异有统计学意义(P<0.05)。术后6 h、24 h观察组MMSE评分高于对照组,差异有统计学意义(P<0.05)。结论:椎管内麻醉对老年泌尿手术患者术后认知功能的影响更小。Objective:To investigate the safety and adverse effects of different anesthetic methods in geriatric urological surgery.Methods:90 cases of elderly patients undergoing urological surgery were divided into two groups randomly.The control group was given sevoflurane inhalation anesthesia,and the observation group was given intraspinal anesthesia,the operation condition and MMSE score between the two groups were compared.Results:The intraoperative transfusion volume,intraoperative blood loss and operative time in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The MMSE score of the observation group was higher than that of the control group at 6 h and 24 h after operation,the difference was statistically significant(P<0.05).Conclusion:Intraspinal anesthesia had less effect on postoperative cognitive function in geriatric patients undergoing urological surgery.

关 键 词：泌尿外科 椎管内麻醉 全身麻醉 认知功能 

分 类 号：R614[医药卫生—麻醉学]