静脉麻醉与吸入麻醉药物对择期腹部手术老年患者的术后认知的影响

Effects of intravenous anesthesia and inhalation anesthesia on postoperative cognitive of elderly patients with elective abdominal surgery

目的探讨静脉麻醉与吸入麻醉药物对择期腹部手术老年患者的术后认知的影响。方法 80例择期行腹部手术的老年患者分为观察组和对照组。对照组使用静脉麻醉,观察组使用吸入麻醉。观察2组患者在不同时间点血流动力变化、术前及术后各阶段MMSE评分变化,并比较苏醒时间与导管拔出时间。结果观察组在诱导后、插管后3 min、拔管前、拔管后SBP、DBP、HR水平均显著低于对照组(P<0.05)。观察组在术后1、3、6、24 h时MMSE评分均显著高于对照组(P<0.05)。观察组苏醒时间、导管拔出时间均显著短于对照组(P<0.05)。结论在老年患者中,进行瑞芬太尼复合丙泊酚的全屏静脉麻醉效果更加优异。

Objective To investigate the effects of intravenous anesthesia and inhalation anesthesia on postoperative cognition of elderly patients with elective abdominal surgery. Methods A total of 80 elderly patients with elective abdominal surgery were divided into observation group and control group. The control group was given intravenous anesthesia,while the observation group was given inhalation anesthesia. Changes of MMSE scores at different time points,hemodynamic changes before and after surgery were compared,and the recovery time and extubation time was recorded and compared. Results The SBP,DBP and HR levels in the observation group were significantly lower than those in the control group（ P〈0. 05） before and after the induction,3 min after intubation,before extubation and after extubation. The MMSE scores of the observation group were significantly higher than those of the control group（ P〈0. 05） at 1,3,6 and 24 h after operation. In the observation group,the recovery time and the extubation time were significantly shorter than the control group（ P〈0. 05）. Conclusion In elderly patients,remifentanil combined with propofol intravenous anesthesia is more excellent.