探讨麻醉方式对老年创伤患者术后早期认知功能的相关影响

Experience of Professor Chen Quanru on Treating Allergies to Anti-thyroid Drug

目的对老年创伤患者采取不同麻醉方式，对其术后早期认知功能的影响进行分析。方法：选取老年创伤（股骨）患者80例，根据入院编号进行平均分组，其中单号为对照组，双号为实验组，各40例，对照组给予全身麻醉，实验组给予腰一硬联合麻醉。结果：实验组术后认知功能障碍的发生率显著低于对照组，P〈0．05；且两组患者手术前后其简易精神状况检查的评分比较，实验组评分高于对照组，P〈0．05。结论：全身麻醉的方式会损伤老年创伤患者的早期认知功能，腰一硬联合麻醉的应用能降低术后老年创伤患者认知功能障碍的发生率。

Objective To analyze the effect of different anesthesia methods on the early postoperative cognitive function in elderly patients with trauma. Methods： a total of 80 cases of patients with elderly trauma （femur）. According to the admission number of average packet, including Dan Hao as control group, Shuang Hao as the experimental group, 40 eases in each, control group were given general anesthesia, experimental group give combined spinal epidural anesthesia. Results： after surgery in the experimental group of cognitive dysfunction incidence was significantly lower than that of the control group （P 〈 0.05）. And the two groups of patients before and after the operation the mini mental state examination scores compared experimental group score higher than the control group （P 〈 0.05）. Conclusion： general anesthesia can reduce the early cognitive function in elderly patients with trauma, and the application of combined spinal epidural anesthesia can reduce the incidence of cognitive dysfunction in elderly patients with trauma.