硬膜外麻醉与全身麻醉对老年骨科患者术后短期认知功能的影响

Epidural Anesthesia and General Anesthesia on Postoperative Short-Term Cognitive Function in Elderly Patients With Bone

目的观察硬膜外麻醉与全身麻醉对老年骨科患者术后短期认知功能的影响。方法回顾性分析本院收治的118例老年骨科手术患者的临床资料,按照随机数字表法分成两组,每组59例。观察组予以硬膜外麻醉,对照组予以全身麻醉,比较两组患者MMSE评分与POCD(术后认知功能障碍)发生率。结果观察组麻醉后12 h、24 h POCD发生率均低于对照组,差异均有统计学意义(P<0.05)。结论硬膜外麻醉方式对老年骨科手术患者短期认知功能的影响更小。

Objective To observe the epidural anesthesia and general anesthesia on the influence of short-term cognitive function in elderly patients with orthopaedic surgery.Methods Retrospectively studied the clinical data of 118 patients with senile bone surgery in our hospital,divided into two groups according to random number table method,59 cases in each group. Observation group to epidural anesthesia,control group to general anesthesia, comparing two groups of patients with MMSE score and the incidence of POCD. Results Observation group 12、24 h after anesthesia hpocd rates are lower than the control group,the differences were statisticaly significant （P〈0.05）.Conclusion Epidural anesthesia effects on short-term cognitive function in elderly patients with orthopaedic surgery.