不同麻醉方式对老年患者术后认知功能障碍的影响

目的探讨不同麻醉方式用于术后老年患者对其认知功能的影响。方法选取医院收治的老年手术患者76例，按麻醉方式分为对照组和观察组。对照组行全身麻醉，观察组行硬膜外麻醉，对比两组术后认知功能障碍。结果对照组认知功能障碍发生率为31．6％，高于观察组的15．8％；术后1d，观察组简易精神状态检查量表（MMSE）评分为（21．6±4．3）分，术后7d为（23．2±4．7）分，均明显高于对照组（P〈0．05）。结论硬膜外麻醉用于老年手术患者，可减少认知功能障碍发生率，从而改善患者生存质量，值得推广。

Objective To explore the different ways of anesthesia used in postoperative elderly patients on its cognitive function. Methods Select 76 cases of elderly surgical patients of our hospital as the research object,according to the way of anesthesia is divided into control group and observation group,all the 38 cases,including the control fine,general anesthesia group for epidural anesthesia,compared two groups of postoperative cognitive dysfunction.Results The control group,the incidence of cognitive dysfunction was 31.6%,higher than 15.8% in observation group;Preoperative MMSE score comparison of the two groups have no significant difference（P〉 0.05）,postoperative MMSE score of 1 d group （21.6±4.3）,postoperative 7 d is （23.2±4.7）points,were sig- nificantly higher than that of control group,compared significant difference （P 〈 0.05）.Conclusion Compared with the entire body anesthesia and epidural anesthesia surgery for elderly patients can reduce the incidence of cognitive dysfunction,and improve the quality of survival ,has promotion value.