腰硬联合麻醉、全身麻醉对老年人工股骨头置换术患者血流动力学相关指标及认知功能的影响  

Impact of Combined Spinal-Epidural Anesthesia and General Anesthesia on Hemodynamic Related Indicators and Cognitive Function in Elderly Patients Undergoing Artificial Femoral Head Replacement

作　　者：于新平[1] 李景翠 YU Xinping;LI Jingcui(Department of Surgical Anesthesia,Tangyin County People's Hospital,Anyang 456150,China)

机构地区：[1]汤阴县人民医院手术麻醉科,河南安阳456150

出　　处：《临床医学工程》2023年第11期1549-1550,共2页Clinical Medicine & Engineering

摘　　要：目的探讨分析腰硬联合麻醉、全身麻醉对老年人工股骨头置换术患者血流动力学相关指标及认知功能的影响。方法选取2019年1月至2021年12月在我院行人工股骨头置换术治疗的81例老年患者,按照麻醉方式不同分为A组(n=41)和B组(n=40)。A组采用腰硬联合麻醉,B组采用全身麻醉。比较两组患者的心率(HR)、平均动脉压(MAP)及认知功能。结果T_(0)、T_(3)时,两组的HR、MAP比较差异无统计学意义(P>0.05);T_(1)、T_(2)时,A组HR、MAP高于B组(P<0.05)。术后1 d、3 d时,两组的简易智能状态量表(MMSE)评分低于术前,A组MMSE评分高于B组(P<0.05)。结论腰硬联合麻醉能有效维持老年人工股骨头置换术患者血流动力学稳定,减轻对患者认知功能的影响。Objective To analyze the impact of combined spinal-epidural anesthesia and general anesthesia on hemodynamic related indicators and cognitive function in elderly patients undergoing artificial femoral head replacement.Methods 81 elderly patients undergoing artificial femoral head replacement in our hospital from January 2019 to December 2021 were selected and divided into group A(n=41)and group B(n=40)according to different anesthesia methods.Group A received combined spinal-epidural anesthesia,and group B received general anesthesia.The heart rate(HR),mean arterial pressure(MAP)and cognitive function were compared between the two groups.Results At T_(0) and T_(3),no statistical difference was found in the HR and MAP between the two groups(P>0.05).At T_(1),and T_(2),the HR and MAP of group A were higher than those of group B(P<0.05).1 day and 3 days after operation,the MMSE scores of the two groups were lower than those before operation,but the MMSE score of group A was higher than that of group B(P<0.05).Conclusions Combined spinal-epidural anesthesia can effectively maintain hemodynamic stability and reduce the impact on cognitive function in elderly patients undergoing artificial femoral head replacement.

关 键 词：全身麻醉 腰硬联合麻醉 股骨头置换术 血流动力学 认知功能 

分 类 号：R614[医药卫生—麻醉学]