不同全身麻醉方式对老年消化道肿瘤患者术后早期认知功能的影响  

作　　者：张锌[1] 

机构地区：[1]陕西汉中3201医院麻醉科,陕西汉中723000

出　　处：《中国药业》2019年第S02期14-15,共2页China Pharmaceuticals

摘　　要：目的探讨不同的全身麻醉方式对老年消化道肿瘤患者术后早期认知功能的影响。方法选取医院2018年收治的拟行手术老年消化道肿瘤患者60例,按全身麻醉方式的不同分为七氟醚吸入麻醉组(A组)、异丙酚静脉麻醉组(B组)、七氟醚与异丙酚静吸复合组(C组)。采用简易精神状态评价量表对患者术前、麻醉恢复及术后的认知功能进行评分。结果与术前比较,3组患者麻醉恢复及术后的认知功能评分略低,但无显著差异。结论消化道肿瘤手术全身麻醉方式对患者早期认知功能无明显影响。临床手术时可根据患者实际情况采用不同的全身麻醉方式。Objective To investigate the effect of different general anesthesia on the early cognitive function of the elderly patients with digestive tract tumor.Methods Totally 60 elderly patients with digestive tract tumor underwent operation admitted to our hospital in 2018 were selected and divided into sevoflurane inhalation anesthesia group(group A),propofol intravenous anesthesia group(group B),sevoflurane and propofol combination group(Group C).The simple mental state evaluation scale was used to evaluate the cognitive function of patients before and after operation.Results Compared with before operation,the scores of anesthesia recovery and postoperative cognitive function of the three groups were slightly lower,but there was no significant difference.Conclusion General anesthesia has no significant effect on the early cognitive function of patients.During the clinical operation,different general anesthesia methods can be used according to the actual situation of patients.

关 键 词：全身麻醉方式 老年 消化道肿瘤 术后 早期认知功能 

分 类 号：R735[医药卫生—肿瘤]