期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

不同全身麻醉深度对老年患者术后认知功能的影响 被引量：7

下载PDF
导出
摘要 非心脏手术后尤其是老年患者的认知功能障碍，已越来越得到人们的关注。而造成术后认知功能障碍（POCD）是多种因素综合作用的结果，有报道认为全身麻醉较区域麻醉更易发生术后1周内认知功能障碍，且与全身麻醉用药有关。本文旨在观察不同全身麻醉深度对行非心脏手术后的老年（〉65岁）患者近期认知功能的影响。
作者 汪飞翔 严敏
机构地区 浙江大学医学院附属第二医院麻醉科
出处 《浙江医学》 CAS 2010年第3期397-399,共3页 Zhejiang Medical Journal
关键词 术后认知功能障碍 非心脏手术后 老年患者 全身麻醉 麻醉深度 区域麻醉 麻醉用药
分类号 R749 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献12

  • 1王春燕,吴新民.全身麻醉术后对中老年病人认知功能的影响[J].中华麻醉学杂志,2002,22(6):332-335. 被引量：121
  • 2姚立农.老年人术后认知功能障碍的研究现状[J].国外医学（麻醉学与复苏分册）,2001,22(4):217-220. 被引量：45
  • 3曹君瑜,杨晓斌,汤慧,叶球军,邱慧玲.不同麻醉方式对老年患者术后认知功能影响的比较[J].浙江医学,2007,29(3):244-246. 被引量：14
  • 4Rasmussen L S,Johnson T,Kuipers H M,et al.Does anaesthesia cause postoperative cognitive dysfunction? A randomized study of regional verses general anaesthesia in 438 elderly patients[J].Acta Anaesthesiol Scand,2003,47(3):260-266.
  • 5张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,2003.39.
  • 6Biedler A,Juckenhofel S,Larsen R,et al.Postoperative cognition disorders in elderly patients.The results of the "international Study of Postoperative Cognitive Dysfunction "ISPOCD[J].Anaesthesist,1999,48(12):884-895.
  • 7Burrow B,Mckenzie B,Case C.Do anaesthetized patients recover better after bispectral index monitoring[J]? Anaesth Intensive Care,2001,29:239-245.
  • 8Folstein M F,Folstein S E,McHugh P R."mini-mental state".A practical method for grading the cognitive state of patients for the clinician[J].J Psychiatry Res,1975,12:189-198.
  • 9Sleigh J W,Donovon J.Comparison of bispectral index,95% spectral edge frequency and approximate entropy of the EEG,which charges in heart rate variability during induction of general anesthesia[J].Br J Anesth,1999,82:666-671.
  • 10Barr G,Anderson R E,Samuelesson S,et al.Fentanyl and midazo-lam anesthesia for coronary bypass surgery:a clinical study of bistractral eletroncephalogram analysis,drug concentrations and recall[J].Br J Anesth,2000,84(6):749-752.

二级参考文献23

  • 1吴涯雯,曾静贤.老年人术后认知功能障碍的探讨[J].青海医药杂志,2005,35(11):12-13. 被引量：9
  • 2何并文,邹小英.局部麻醉药的非麻醉作用[J].国外医学（麻醉学与复苏分册）,1996,17(1):22-25. 被引量：25
  • 3龚耀先.修订韦氏成人智力量表手册（第1版）[M].长沙:湖南医学院出版社,1982.35-59.
  • 4Dodds C et al. Br J Anaesth,1998;81:449
  • 5Rasmussen LS. Eur J Anaesth,1998;15:761
  • 6Bedford PD. Lancet, 1998; 15: 765
  • 7Moller JT et al. Lancet,1998;351:857
  • 8Campbell DNC et al. Anaesthesia, 1993 ; 48 : 422
  • 9Hole A et al. Acta Anaesth Scan,1980;24:279
  • 10Bruce DL et al. Br J Anaesth,1976;48:871

共引文献617

同被引文献46

  • 1王玲.老年患者全身麻醉术后认知功能障碍的发病情况.安庆医学,2008,:23-23.
  • 2Staudenmayer KL, Maier RV, Jelacic S, et al. Hypertonic saline modu- lates innate immunity in a model of systemic inflammation [ J J. Shock, 2006,24(5) :459-463.
  • 3Shabanov VV, Shabaeva NN, Milyakova MN. Generation of free oxygen radicals in pathogenesis of experimental acutereflux pancreatitis [ J ]. Bull Exp Biol Med, 2006,138(1) :26-27.
  • 4Rasmussen LS. Postoperative cognitive dysfunction: incidence and prevention. Best Pract Res Clin Anaesthesiol, 2006, 20 (2) :315-330.
  • 5Moiler JT, Cluitmans P, Rasmussen I.S, et al. Long-term postoperative cognitive dysfunction in the elderly: ISPOCD1 study. Imncet. 1998,351(9106) :857-861.
  • 6Wong J, Song D,Blanshard H,et al. Titration of isoflurance using Bis index improves early recovery of elderly patients un- dergoing orthopedic surgeries. Can J Anaesth, 2002, 49 ( 1 ) : 13-18.
  • 7Steinmetz J, Funder KS, DaM BT, et al. Depth of anaesthesia and post-operative cognitive dysfunction. Acta Anaesthesiol Stand, 2010,54(2) = 162-t68.
  • 8Farag E, Chelune GJ, Schubert A, et al. Is depth of anesthe- sia,assessed by the Bispectral Index, related to postoperative cognitive dysfunction and recovery? Anesth Analg, 2006,103 (3):633 640.
  • 9An J, Fang Q, Huang C, et al. Deeper total intravenous an- esthesia reduced the incidence of early postoperative cognitive dysfunction after microvascular decompression for facial spasm. J Neurosurg Anesthesiol, 2011, 23(1): 12-17.
  • 10Alkire MT. Quantitative EEG correlations with brain glucose metabolic rate during anesthesia in volunteers. Anesthesiolo- gy, 1998,89(2) : 323-333.

引证文献7

浙江医学
2010年 第3期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部