老年高血压患者术后认知功能障碍的病例分析(附28例)

Elderly Patients With High Blood Pressure Cases Analysis of Postoperative Cognitive Dysfunction(28 Cases)

目的通过对我院28例出现老年高血压患者术后认知功能障碍的分析,探讨术前用药及麻醉方式对其的影响和有效的治疗方法。方法选取2013年4月—2016年7月我院行高血压术后老年患者出现认知功能障碍28例,对其临床资料进行回顾性分析。其中病情较为严重的患者给予肌注鲁米那0.1 mg和静注咪唑安定2 mg。病情较为一般的患者给予肌注鲁米那0.1 mg。观察患者治疗后的效果并总结分析有效的术前应对策略以及治疗方案。结果经上述处理后患者情绪稳定,能够保持安静状态,无心血管及呼吸功能抑制等不良反应情况出现。结论应用上述两种药物能有效控制术后瞻妄,临床疗效较为理想。

Objective To pass to occur in elderly patients with hypertension in 28 cases of postoperative cognitive dysfunction analysis, explore preoperative medication and anesthesia for its influence and effective treatment method. Methods From April 2013 to July 2016, 28 cases of cognitive dysfunction in elderly patients with hypertension after operation were selected, and the clinical data were analyzed retrospectively. The more serious illness of patients treated with intramuscular injection of luminal 0.1 mg and intravenous midazolam 2 mg. The condition is more general in patients treated with intramuscular injection of luminal 0.1 rag. The effect after treatment was observed and the effective preoperative strategies and treatment protocols were summarized and analyzed. Results After the above treatment, the patient＇s emotional stability, can maintain a quiet state, without cardiovascular and respiratory function inhibition and other adverse reactions appear. Conclusion The use of the two drugs can effectively control postoperative looking forward, and the clinical effect is ideal.