CAJ | 학술논문

目的：探讨咪达唑仑静脉麻醉对老年骨科患者术后谵妄（EA）的影响效果。方法选取2011年4月-2013年10月本科择期行骨科手术的108例患者，随机分为咪达唑仑静脉麻醉组（观察组）和丙泊酚组（对照组），观察两组患者的麻醉及手术时间以及术中及术后不良反应情况，采用智能精神状态检查量表（ MMSE）评价认知功能。结果观察组苏醒时间、丙泊酚用量、术后恶心呕吐（PONV）以及术后 EA 的发生率低于对照组，差异有统计学意义（P ﹤0.05）。结论咪达唑仑作为麻醉诱导用药可以减少丙泊酚的用量，可以减少对心血管的影响，可使老年骨科患者较快苏醒，且对于术后 EA 发生率影响不明显。
목적：탐토미체서륜정맥마취대노년골과환자술후섬망（EA）적영향효과。방법선취2011년4월-2013년10월본과택기행골과수술적108례환자，수궤분위미체서륜정맥마취조（관찰조）화병박분조（대조조），관찰량조환자적마취급수술시간이급술중급술후불량반응정황，채용지능정신상태검사량표（ MMSE）평개인지공능。결과관찰조소성시간、병박분용량、술후악심구토（PONV）이급술후 EA 적발생솔저우대조조，차이유통계학의의（P ﹤0.05）。결론미체서륜작위마취유도용약가이감소병박분적용량，가이감소대심혈관적영향，가사노년골과환자교쾌소성，차대우술후 EA 발생솔영향불명현。
Objective To discuss effect of midazolam intravenous anesthesia on elderly patients' postoperative deliri-um in orthopedics department. Methods 108 cases patients in our department who took orthopedic operation in different time from April 2011 to October 2013,were randomly divided into midazolam intravenous anesthesia group(observation group)and propofol group(control group). Two group patients' anesthesia and operation time,the adverse reactions of intraoperation and after operation were observed,cognitive function was evaluated by MMSE scale. Results Observation group's revival time, dosage of propofol,incidence rate of PONV,EA were shorter than control group,the differences were statistically significant (P ﹤ 0. 05). Conclusion Midazolam as anesthesia induction drug can reduce the dosage of propofol and the influence on cardi-ovascular,intravenous anesthesia rapidly effective,it could make elderly patients in orthopedics department rapid recovery,re-duced non - incidence rate of postoperative delirium.