不同麻醉方式在老年骨科手术患者中的应用效果

Application of the Different Anesthesia Method in Elderly Patients With Orthopaedic Surgery

目的比较硬膜外麻醉以及全身麻醉在老年骨科手术患者中的应用效果。方法选取2016年7月—2017年12月在我院就诊的100例老年骨科手术患者,随机分为两组。对照组采取全身麻醉,观察组采取硬膜外麻醉。结果观察组的拔管时间、麻醉后的苏醒时间、VAS疼痛评分以及止痛时间与对照组比较差异无统计学意义(P> 0.05);在麻醉前30 min,两组的MMSE量表评分值相比差异无统计学意义(P> 0.05),在手术后2 h以及手术后4 h,观察组的MMSE量表评分值明显高于对照组(P <0.05),在手术后24 h以及手术后72 h,两组的MMSE量表评分值相比差异无统计学意义(P> 0.05)。结论硬膜外麻醉以及全身麻醉均会对老年骨科手术患者的认知功能造成一定程度的影响,其中,硬膜外麻醉的影响程度明显小于全身麻醉。

Objective To compare the effect of epidural anesthesia and general anesthesia in elderly patients with orthopaedic surgery.Methods100 cases of elderly orthopaedic surgery patients in our hospital from July 2016 to December 2017 were randomly divided into two groups.The control group was given general anesthesia,while the observation group was given epidural anesthesia.Results There were no significant differences in extubation time,recovery time after anesthesia,VAS pain score and analgesic time between the two groups(P>0.05).At 30 minutes before anesthesia,there was no significant difference in the scores of MMSE scale between the two groups(P>0.05).At 2 hours and 4 hours after operation,the scores of MMSE scale in the observation group were significantly higher than those in the control group(P<0.05).At 24 hours and 72 hours after operation,there was no significant difference in the scores of MMSE scale between the two groups(P>0.05).Conclusion Epidural anesthesia and general anesthesia can affect the cognitive function of the elderly patients with orthopaedic surgery to a certain extent,among which,the effect of epidural anesthesia is obviously less than that of general anesthesia.