不同麻醉、镇痛方式对老年非心脏手术患者术后认知的影响

Effects of Different Anesthesia and Analgesia Methods on Postoperative Cognition in Elderly Patients Undergoing Noncardiac Surgery

目的研究不同麻醉、镇痛方式对老年非心脏手术患者术后认知的影响。方法选取我院2014年3月~2015年7月住院部收治的40例老年非心脏手术患者,分为两组。其中对照组患者给予全身麻醉静脉镇痛,观察组患者实施腰硬联合麻醉硬膜外镇痛。观察两组患者术后VAS评分和MMSE评分情况以及术后认知功能障碍发生率。结果观察组患者的术后VAS评分和MMSE评分优于对照组;观察组患者术后认知障碍发生率为10.00%低于对照组,差异有统计学意义（P〈0.05）。结论不同麻醉、镇痛方式对老年非心脏手术患者术后认知功能均会有影响,应合理选择麻醉方法。

Objective To investigate the effects of different anesthesia and analgesia on the postoperative cognition in elderly patients undergoing noncardiac surgery. Methods 40 elderly patients with noncardiac surgery admitted in our hospital from March 2014 to July 2015 were divided into two groups. The control group of elderly patients with non-cardiac surgery given general anesthesia intravenous analgesia, observation group of elderly patients with non-cardiac surgery to implement spinal epidural analgesia combined spinal anesthesia. The VAS and MMSE scores and the incidence of postoperative cognitive dysfunction were observed. ResultsThe postoperative VAS and MMSE scores of the observation group were significantly better than those of the control group. The incidence of postoperative cognitive dysfunction was lower in the observation group than that in the control group（P〈0.05）. Conclusion Different anesthesia and analgesic methods have influence on the postoperative cognitive function of the elderly patients with noncardiac surgery. The anesthesia method should be selected rationally.