全身麻醉和硬膜外麻醉对老年骨折患者的作用

Effects of General Anesthesia and Epidural Anesthesia in Elderly Patients With Fracture

目的探讨全身麻醉和硬膜外麻醉对老年骨折患者的作用。方法选取2018年3月-2019年9月98例老年骨折患者,按数字随机抽取分成观察组(n=49)与对照组(n=49),对照组采取全身麻醉,观察组采取硬膜外麻醉,观察两组简易精神状况检测量表(mini-mental state examination,MMSE)评分、认知功能障碍及血流动力学。结果观察组术后24 h的MMSE评分高于对照组,P<0.05;观察组术后6 h、12 h认知功能障碍发生率明显低于对照组,P<0.05;观察组T1、T2时的心率、舒张压、收缩压均低于对照组,P<0.05。结论对比全身麻醉,硬膜外麻醉可减少老年骨折患者认知功能障碍,对血流动力学影响更小。

Objective To investigate the effect of general anesthesia and epidural anesthesia on elderly patients with fracture.Methods From March 2018 to September 2019,98 elderly patients with fractures were randomly selected and divided into an observation group(n=49)and a control group(n=49).The control group was received general anesthesia and the observation group was received epidural anesthesia.Observe the two groups of mini-mental state examination(MMSE)scores,cognitive dysfunction and hemodynamics.Results The MMSE score of the observation group was higher than that of the control group at 24 h,P<0.05,the incidence of cognitive dysfunction at 6 h and 12 h in the observation group was significantly lower than that in the control group,P<0.05;the heart rate,diastolic blood pressure and systolic blood pressure of the observation group at T1 and T2 were lower than those of the control group,P<0.05.Conclusion Compared with general anesthesia,epidural anesthesia can reduce cognitive dysfunction in elderly patients with fracture,and has less impact on hemodynamics.