CAJ | 학술논문

目的：探讨不同麻醉方法对老年非心脏手术患者术后早期认知功能的影响。方法选择老年非心脏手术患者89例的临床资料进行回顾性分析。其中47例采用全麻进行手术，42例采用全身-硬膜外复合麻醉手术。分别对患者术前1天、术后7天的神经精神功能进行检测，判断不同麻醉方法对患者早期认知功能的影响。结果两组术前神经精神功能评分比较均无显著性差异，两组间术后比较也无显著性差异（P＞0.05）。两组术后神经精神功能恶化情况比较差异无统计学意义（P＞0.05）。结论全麻与全身-硬膜外复合麻醉对老年非心脏手术患者术后早期认知功能影响无显著性差异。
목적：탐토불동마취방법대노년비심장수술환자술후조기인지공능적영향。방법선택노년비심장수술환자89례적림상자료진행회고성분석。기중47례채용전마진행수술，42례채용전신-경막외복합마취수술。분별대환자술전1천、술후7천적신경정신공능진행검측，판단불동마취방법대환자조기인지공능적영향。결과량조술전신경정신공능평분비교균무현저성차이，량조간술후비교야무현저성차이（P＞0.05）。량조술후신경정신공능악화정황비교차이무통계학의의（P＞0.05）。결론전마여전신-경막외복합마취대노년비심장수술환자술후조기인지공능영향무현저성차이。
Objective To discuss the effects of general anesthesia,general compound epidural anesthesia on postopera-tive cognitive dysfunction (POCD) in elderly patients with non-cardiac surgery. Methods The data of 89 elderly patients with non-cardiac surgery were analyzed. 47 cases received general anesthesia and 42 cases received general compound epidural anesthesia. The spirit of neural function was detected preoperation day and the 7th day after operation. The effects of general anesthesia,general compound epidural anesthesia on POCD were analyzed. Results The spirit of neural function of two groups showed no significant difference between before and after operation, and there was no significant different between two groups af-ter operaion(P>0.05). Neuropsychological deficit showed no significant difference(P>0.05). Conclusion The effects of gen-eral anesthesia,general compound epidural anesthesia on POCD in elderly patients with non-cardiac surgery show no significant difference.