全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响

Effects of General Anesthesia and Epidural Anesthesia on Postoperative Short-term Cognition in Elderly Orthopaedic Patients

目的:探讨全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响。方法:选取2017年2月-2018年2月入院接受治疗的134例老年骨科患者,采用双色球分组法将患者分为对照组与观察组,每组67例。两组接受不同麻醉方式,对照组接受全身麻醉,观察组接受硬膜外麻醉,观察两组认知障碍情况。结果:观察组认知障碍发生率低于对照组,差异有统计学意义(P<0.05)。观察组麻醉后苏醒时间、应答时间、拔管时间均早于对照组,差异均有统计意义(P<0.05)。结论:硬膜外麻醉对于老年骨科患者的认知功能影响较小,能有效降低发生认知障碍的风险,值得在临床上推广。

Objective:To explore the effects of general anesthesia and epidural anesthesia on postoperative short-term cognition in elderly orthopaedic patients.Method:A total of 134 patients were admitted to hospital for treatment from February 2017 to February 2018 and divided into the control group and the observation group by the double chromosphere grouping method,67 cases in each group.The patients in the two groups received different anesthesia methods,the patients in the control group received general anesthesia,the patients in the observation group received epidural anesthesia,and the cognitive impairment of the patients in the two groups were observed.Result:Incidence of cognitive impairment in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The recovery time,response time and extubation time after anesthesia of the observation group were earlier than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Epidural anesthesia has relatively less influence on cognitive impairment of elderly orthopedic patients and can effectively reduce the risk of cognitive impairment,which is worthy of clinical promotion.