分析全凭静脉麻醉与吸入麻醉对老年手术患者术后认知功能的影响

The effects of total intravenous anesthesia or inhalation anesthesia on postoperative cognitive function in elderly patients after surgery

目的老年患者手术治疗过程中分别应用全凭静脉麻醉和吸入麻醉其术后认知功能影响情况讨论分析。方法本实验共选取老年手术患者120例,按照随机数字表法将所有患者分成研究组和对照组(均n=60),医护人员将全凭静脉麻醉和吸入麻醉操作分别应用于研究组和对照组两组患者临床治疗中,对比相关临床指标数据变化情况。结果相比于对照组,研究组患者拔管时间和苏醒时间均更短、不同时间段研究组患者MMSE评分(智力状态检查量表评分)均更高,差异有统计学意义(P<0.05),该组患者术后认知功能更好、麻醉影响更小。结论老年手术患者在临床治疗过程中接受全凭静脉麻醉操作,预后质量更好患者术后认知功能影响较小,这对于促进患者术后认知功能恢复具有重要意义,值得临床应用。

Objective To compare the effects of total intravenous anesthesia and inhalation anesthesia on postoperative cognitive function in elderly patients undergoing surgery. Methods In this study,120 elderly surgical patients were selected.According to the random number table method,all patients were divided into the study group and the control group,60 cases in each group.Total intravenous anesthesia and inhalation anesthesia were applied to the study group and the control group.The clinical data of the two groups were compared. Results Compared with the control group,the extubation time and recovery time of the patients in the study group were shorter,and the MMSE score （intelligence status scale score） of the study group was higher at different time.The patients in the study group had better postoperative cognitive function and less anesthesia. Conclusion Total intravenous anesthesia in elderly surgical patients has better prognosis quality and less postoperative cognitive function,which is of great significance for promoting postoperative cognitive function recovery,and is worthy of clinical application.