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硬膜外麻醉和全身麻醉对高龄患者腹部术后谵妄的影响 被引量:14

Assessment on Deliration of Old Age Patients after Operation with General Anesthesia and Epidural Anesthesia
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摘要 目的探讨硬膜外麻醉和全身麻醉对高龄患者腹部术后谵妄的影响差异。方法选择2010年1月-2012年1月进行腹部手术的患者120例,随机分为两组,硬膜外麻醉组60例,其中男性33例,女性27例,手术时采用硬膜外麻醉法。全身麻醉组60例,其中男性31例,女性29例,手术时采用全身麻醉法。观察术中ECG、MV、MAP、HR、SPO2、PEtCO2,并观察术后1~3 d的谵妄发生率,比较二者差异。结果结果显示,术中全身麻醉组MAP显著升高,硬膜外麻醉组无明显变化或略低,两组比较差异有统计学意义(P<0.05),其余指标差异无统计学意义(P>0.05)。全身麻醉组术后谵妄发病率为56.0%,高于硬膜外麻醉组(26.0%),差异具有统计学意义(P<0.05)。结论全身麻醉对于高龄患者术后谵妄的影响较大,硬膜外麻醉影响较小,因此应该选取适宜的麻醉方法以降低术后谵妄的发病率。 Objective To compare the influence of general anesthesia and epidural anesthesia on the operative deliration of old age patients.Methods All 120 patients undergoing major abdominal surgery in our hospital from 2010.1-2012.1 were selected and divided into two groups:general anesthesia group(60 cases) and epidural anesthesia group(60 cases).During and after operations,the levels of ECG,MV,MAP,HR,SpO2,PEtCO2 and deliration in two groups were observed.Results During and after operations,the levels of ECG,HR,MV,SpO2,PEtCO2 in two groups have no significance differences(P0.05),but MAP has significance difference(P0.01).The delirium formation rate of general anesthesia group(56.0%) is higher than epidural anesthesia group(26.0%) after operations(P0.05).Conclusion The delirium formation rate of general anesthesia is higher than epidural anesthesia group;therefore,we should select appropriate anesthetic techniques to reduce the incidence of postoperative delirium.
出处 《中华全科医学》 2013年第3期371-372,共2页 Chinese Journal of General Practice
关键词 硬膜外麻醉 全身麻醉 谵妄 Epidural anesthesia General anesthesia Delirium
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