全身麻醉与椎管内麻醉对老年骨科患者术后精神状态与认知功能的影响效果对比

Comparison of Effects of General Anesthesia and Spinal Anesthesia on Postoperative Mental State and Cognitive Function in Elderly Patients Undergoing Orthopaedic Surgery

目的观察全身麻醉与椎管内麻醉对术后精神状态与认知功能的不同影响。方法选取鼓楼医疗集团宿迁市人民医院治疗的老年骨科手术患者60例,按照入院顺序分为观察组和对照组,各30例。观察组行椎管内麻醉,对照组行全身麻醉。对比两组术后精神状态与认知功能。结果观察组术后1、3、6 h认知功能和精神状态评分显著高于对照组(P<0.05),术后12、24 h两组认知功能和精神状态评分比较差异无统计学意义(P>0.05)。观察组药物剂量少,且不良反应发生率低于对照组(P<0.05)。结论与全身麻醉比较,椎管内麻醉方案在术后12 h内能更加快速的促进患者认知功能、精神状态的恢复,且不良反应发生率低,安全性好。

Objective To observe the different effects of general anesthesia and spinal anesthesia on postoperative mental state and cognitive function in elderly patients undergoing orthopaedic surgery.Methods A total of 60 elderly patients undergoing orthopaedic surgery in our hospital were divided into observation group and control group according to the order of admission.The observation group underwent spinal anesthesia and the control group underwent general anesthesia.The postoperative mental state and cognition was compared between the two groups.Results The cognitive function and mental state scores of the observation group were significantly higher at 1,3,and 6 h after operation(P<0.05),but the cognitive function and spirit of the two groups were 12 hours and 24 hours after operation.There was no significant difference in state scores(P>0.05).Compared with the control group,the drug dose in the observation group was small,and the incidence of adverse reactions was low,with statistical significance(P<0.05).Conclusion The intraspinal anesthesia program can promote the recovery of cognitive function and mental state more quickly than the general anesthesia program within 12 h after operation,and the incidence of adverse reactions is low with safety.