全身麻醉与硬膜外麻醉对老年骨科患者术后短期认知功能的影响

Effect of general anesthesia and epidural anesthesia on postoperative short-term cognitive function in elderly patients

目的:观察分析两种不同麻醉方式(全身麻醉、硬膜外麻醉)对老年骨科患者手术后短期认知功能的影响。方法:按入院前后顺序,将82例老年骨科患者均分成甲组与乙组,分别予以全身麻醉与硬膜外麻醉,然后对其术后短期认知功能的影响加以观察。结果:乙组患者麻醉后12 h、24 h的MMSE评分与POCD发生率均优于甲组,差异有统计学意义(P<0.05)。结论:相较于全身麻醉而言,老年骨科患者实施硬膜外麻醉对术后短期认知功能的影响较小。

Objective To observe and analyze the effect of two different anesthesia methods （general anesthesia,epidural anesthesia） on the short - term postoperative cognitive function of elderly patients with Department of orthopedics. Method According to the hospital before and afler the order,82 eases of elderly orthopedic patients were divided into group A and group B,they were given general anesthesia and epidural anesthesia, espectively, the effect of operation after short -term cognitive funetion was observed. Results The MMSE score and ineidence of POCD in 12 h and 24 h after anesthesia of the patients in group B were better than that of group A, the difference was statistieally significant （P 〈 0. 05 ）. Conclusion Compared with general anesthesia, epidural anesthesia has little effect on the short -term postoperative cognitive function in elderly patients.