静脉麻醉与吸入麻醉对老年患者术后认知功能影响的比较

Comparison of the Effects of Intravenous Anesthesia and Inhalation Anesthesia on Postoperative Cognitive Function in Elderly Patients

目的比较静脉麻醉和吸入麻醉对行手术治疗的老年患者认知功能的影响,阐述两种麻醉方式的临床应用价值。方法选取我院收治的行手术治疗的老年患者60例,随机分为对照组和观察组,对照组采用静脉麻醉,观察组采用吸入麻醉方式,比较两组患者麻醉前后生命体征的变化情况,比较两组患者疼痛评分、拔管时间及清醒时间,比较两组患者不同时间点的MMSE评分。结果两组患者麻醉前后生命体征均未出现明显变化,P>0.05;观察组患者的拔管时间、清醒时间及疼痛评分均明显少于对照组,P<0.05有意义;两组患者MMSE评分的比较,观察组手术前后进行比较无显著变化,对照组患者手术后评分明显低于手术前(P<0.05);而且术后2h和术后5h,观察组患者的评分明显高于对照组,统计学比较有意义。结论吸入麻醉效果更佳,能够有效维持患者的生命体征平稳,缩短患者的拔管时间和清醒时间,减轻患者的痛苦,同时能够有效降低对患者认知功能造成的不良影响,临床应用价值高。

Objective To compare the effects of intravenous anesthesia and inhalation anesthesia on the cognitive function in elderly patients undergoing surgical treatment and to elucidate the clinical value of the two anesthesia methods. Methods The changes of vital signs before and after anesthesia were compared between the two groups. The pain score,extubation time and awake time of the two groups were compared,and the MMSE scores of the two groups at different time points were compared. Results The score of the observation group was significantly higher than that of the control group at 2 h and 5 h after operation,the score of the observation group was significantly higher than that of the control group Statistics more meaningful. Conclusion The inhalation anesthesia is more effective and can effectively maintain the stable vital signs of patients and shorten the extubation time and awake time of patients,reduce the pain of patients and reduce the adverse effects on patients' cognitive function effectively. The clinical application value is high.