CAJ | 학술논문

目的研究80岁以上高龄患者髋关节置换术后认知功能的情况并分析发生认知功能障碍(POCD)的原因、危险因素和防治措施.方法根据Rasmussen等推荐的诊断标准,结合简易智能量表(MMSE)对118例80岁以上髋关节置换术后患者进行评定.对诊断为POCD的患者,经治疗症状缓解后,再次行MMSE评分.结果本组118例高龄患者中有8例发生POCD,发生率为6.8％.经对症处理和心理治疗后,8例均恢复正常.结论 80岁以上高龄患者行髋关节置换术存在POCD的诸多易发因索.麻醉医师应严格控制围术期各种高危因素,最大限度的减少麻醉手术引起的创伤和应激,从而有效预防POCD的发生.
목적 연구80세이상고령환자관관절치환술후인지공능적정황병분석발생인지공능장애(POCD)적원인、위험인소화방치조시.방법 근거Rasmussen등추천적진단표준,결합간역지능량표(MMSE)대118례80세이상관관절치환술후환자진행평정.대진단위POCD적환자,경치료증상완해후,재차행MMSE평분.결과 본조118례고령환자중유8례발생POCD,발생솔위6.8％.경대증처리화심리치료후,8례균회복정상.결론 80세이상고령환자행관관절치환술존재POCD적제다역발인색.마취의사응엄격공제위술기각충고위인소,최대한도적감소마취수술인기적창상화응격,종이유효예방POCD적발생.
Objective To investigate the change,causes,risk factors,prevention and treatment of postoperative cognitive function in over-eighty-year-old patients after hip replacement surgery.Methods One hundred and eighteen over-eighty-year-old patients after hip replacement surgery were evaluated according to the diagnosis standards recommended by rasmussen et al and mini-mental state examination(MMSE).Those who were diagnosised of postoperative cognitive dysfunction(POCD)were evaluated again by MMSE after treatment.Results Eight among one hundred and eighteen elderly patients were diagonosised of POCD.The incidence rate was 6.8％.All the eight patients came back to normal state after symptomatic treatment and psychotherapy.Conclusions There are many risk factors for POCD in over-eighty-year-old patients after hip replacement surgery.An anaesthesia doctor should strictly control all the risk factors during the surgery so that trauma and stress resulted from the surgery and anaesthesia can be reduced to the least degree.