不同麻醉深度对老年患者术后认知功能障碍发生的影响  

Influence of Different Anesthesia Depth on Postoperative Cognitive Dysfunction in Elderly Patients

作　　者：刘燕[1] LIU Yan(Department of Anesthesia and Perioperative Medicine,Zaozhuang Municipal Hospital,Zaozhuang Shandong 277100,China)

机构地区：[1]山东省枣庄市立医院麻醉与围术期医学科,山东枣庄277100

出　　处：《中国卫生标准管理》2022年第8期86-88,共3页China Health Standard Management

摘　　要：目的探讨在老年患者手术治疗中应用不同的麻醉深度在患者术后认知功能方面产生的影响。方法本研究对象选自我院医院收治的老年手术患者,共88例,时间为2020年3月—2021年3月。根据麻醉深度的不同处理,将其分为两组,每组各44例,分别选用深度麻醉和浅麻醉两种方式,对应的BIS值范围在25~39及40~65两个区间。对比两组患者的MMSE评分、认知功能障碍发生率及麻醉效果。结果两组患者术后1、3、5 d患者认知障碍评分及发生率比较,观察组低于对照组,差异有统计学意义(P<0.05)。患者术后苏醒时间、拔管时间及术中血压变化值比较,差异无统计学意义(P>0.05)。结论在老年手术患者麻醉深度的处理方式中,从患者术后认知功能的恢复情况上来看,轻度麻醉的使用价值相对较高,值得临床推广。Objective To investigate the effect of different depth of anesthesia on cognitive function of elderly patients.Methods In this study,88 elderly surgical patients admitted to our hospital were selected from March 2020 to March 2021.According to different treatments of anesthesia depth,they were divided into two groups,with 44 patients in each group.Two methods of deep anesthesia and light anesthesia were selected respectively,and the corresponding BIS values ranged from 25 to 39 and 40 to 65.MMSE score,incidence of cognitive dysfunction and anesthesia effect were compared between the two groups.Results The cognitive impairment score and incidence of 1,3 and 5 days after operation in 2 groups were compared,the observation group was lower than the control group,the difference was statistically significant(P<0.05).There were no significant differences in postoperative recovery time,extubation time and intraoperative blood pressure(P>0.05).Conclusion In the treatment of the depth of anesthesia in elderly patients undergoing surgery,the use value of mild anesthesia is relatively high from the point of view of the recovery of patients’postoperative cognitive function,which is worthy of clinical promotion.

关 键 词：老年患者 手术治疗 麻醉深度 认知功能 影响 苏醒时间 

分 类 号：R614[医药卫生—麻醉学]