全麻联合硬膜外麻醉对老年膝关节置换术患者苏醒时间及认知功能的影响

Effect of general combined epidural anesthesia on postoperative awakening time and cognitive function in elderly patients with total knee arthroplasty

目的探讨全麻联合硬膜外麻醉对老年膝关节置换术患者苏醒时间及认知功能的影响。方法将在我院进行膝关节置换术治疗的100例老年患者随机分为观察组与对照组,每组50例。对照组行全身麻醉,观察组行全身麻醉联合硬膜外麻醉。比较两组患者认知功能评分、并发症发生情况及苏醒时间。结果与对照组比较,观察组术后1、2、3 d认知功能评分均较高,苏醒所用时间较短,差异具有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论全麻联合硬膜外麻醉能够缩短患者的苏醒时间,减少术后的并发症,有助于患者术后认知功能的恢复,值得临床应用。

Objective To investigate the effect of general combined with epidural anesthesia on postoperative awakening time and cognitive function in elderly patients with total knee arthroplasty. Methods A total of 100 elderly patients with total knee arthroplasty in our hospital were selected and randomly divided into observation group and control group, with50 cases in each group. The control group took general anesthesia, and the observation group took general combined epidural anesthesia. The cognitive function, complications and awakening time of the two groups were compared. Results Compared with the control group, in the observation group the scores of cognitive function after surgery for 1, 2, 3 d were higher, and awakening time was shorter（P〈0.05）. The total incidence of complications of the observation group was lower than that of the control group（P〈0.05）. Conclusion General combined with epidural anesthesia can shorten awakening time, reduce postoperative complications and facilitate postoprative recovery of cognitive function, which is worthy of clinical application.