不同麻醉方式对于老年骨科手术后患者短期认知功能与睡眠状况的影响研究

Effect of Different Anesthesia Methods on Short-term Cognitive Function in Elderly Patients Undergoing Orthopaedic Surgery

目的:分析不同麻醉方式对于老年骨科手术后患者短期认知功能的影响。方法:选取2015年2月至2018年9月张家港市第二人民医院收治的老年骨科手术患者60例,随机分为观察组和对照组,每组30例。观察组行全身麻醉,对照组行硬膜外麻醉,比较2组患者术后POCD (认知功能障碍)发生情况、MMSE (简易精神状况检测量表)评分。结果:2组患者麻醉后MMSE评分均有先减少,再恢复的情况出现,且对照组麻醉后24 h的MMSE评分高于观察组(t=6. 3965,P <0. 05)。结论:与硬膜外麻醉比较,全身麻醉对老年骨科手术后患者短期认知功能产生的影响更大。

Objective:To analyze the effects of different anesthesia methods on short-term cognitive function in elderly patients undergoing orthopaedic surgery.Methods:From February2015to September2018,60patients in the elderly undergoing orthopedic surgery were randomly divided into two groups.Group A underwent general anesthesia and group B underwent epidural anesthesia.Postoperative POCD(cognitive dysfunction)and MMSE(simple mental status test scale)score.Results:The MMSE scores of the two groups decreased first and then recovered,and the MMSE scores in group B at24hours after anesthesia were higher than those in group A(t=6.3965,P<0.05).Conclusion:Compared with epidural anesthesia,general anesthesia has a greater impact on short-term cognitive function in elderly patients undergoing orthopaedic surgery.