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全麻与硬膜外麻醉对老年骨科手术患者术后认知功能的影响 预览

Effect of general anesthesia and epidural anesthesia on postoperative cognitive function in elderly patients undergoing orthopedic surgery
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摘要 目的探讨全麻与硬膜外麻醉对老年骨科手术患者术后认知功能的影响。方法选取我院老年骨科手术患者68例,按抽签顺序分为两组,各34例。对照组实施全身麻醉,观察组实施硬膜外麻醉,比较两组患者手术指标,麻醉前、后心率(HR)、平均动脉压(MAP)、认知功能评分情况。结果两组患者低血压发生率及麻醉时间、出血量、输血量比较,差异不显著(P〉0.05);麻醉前及麻醉后各时间点,两组患者的HR、MAP水平比较,差异不显著(P〉0.05);麻醉后24 h,观察组患者认知功能评分明显高于对照组(P〈0.05)。结论与全身麻醉比较,硬膜外麻醉可减轻对老年骨科手术患者术后认知功能的影响,安全性较好。 Objective To invesligale the effecl of general anesthesia and epidural anesthesia on posloperalive cognilive function in elderly palienls with orthopedic surgery. Methods Sixly-eighl elderly palienls who received orthopedic surgery in our hospital were selected and divided into lwo groups according lo lhe draw lots sequence, with 34 cases in each group. The control group received general anesthesia, and lhe observation group accepted epidural anesthesia. The operation indexes, HR and MAP before and after anesthesia, cognilive function scores of lhe lwo groups were compared. Results There were no significant di^erences on lhe incidence rale of hypotension, anesthesia lime, bleeding volume and transfusion volume between lhe lwo groups ( P〉0.05). There were no significant differences on HR, MAP in each lime point before and after anesthesia between lhe lwo groups ( P〉0.05). After 24 h anesthesia, lhe cognilive function score of lhe observation group was significantly higher than lhal of lhe control group ( P〈0.05). Conclusion Compared with general anesthesia, epidural anesthesia can reduce lhe effecl on posloperalive cognilive function in elderly palienls with orthopedic surgery, which has high safely.
作者 刘兆杰 LIU Zhao-jie(Fuping Counly Hospital, Weinan 711700, China)
出处 《临床医学研究与实践》 2017年第18期51-52,共2页 CLINCAL RESEARCH AND PRACTICE
关键词 全麻 硬膜外麻醉 骨科手术 认知功能 general anesthesia epidural anesthesia orthopedic surgery cognilive function
作者简介 刘兆杰(1964-),男,汉族,陕西富平人,副主任医师.研宄方向:老年病人麻醉.
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