中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
11期
5-7
,共3页
前列腺汽化术%认知功能%麻醉%老年
前列腺汽化術%認知功能%痳醉%老年
전렬선기화술%인지공능%마취%노년
Vaporization of the prostate%Cognitive function%Anesthesia%Elderly patients
目的：探究硬膜外麻醉和全身麻醉对行前列腺汽化术老年患者术后患者认知功能恢复的影响。方法：选取我院择期进行手术治疗的行前列腺汽化术的患者200例，根据随机数表法分成观察组和对照组两组，每组100例。对照组患者进行全身麻醉，观察组患者进行硬膜外麻醉，并在麻醉前及术后4h、8h、24h、48h 对患者进行认知功能评分，并对两组患者的评分进行比较。结果：两组患者在术后4h、8h 以及24h的 MMSE 评分与麻醉前相比均有明显降低，差异具有统计学意义（P ＜0.05）。在术后4h 和8h，对照组患者MMSE 评分要明显低于观察组患者，差异具有统计学意义（P ＜0.05）；而在术后24h 和48h，两组患者 MMSE评分相比，差异不具有统计学意义（P ＞0.05）。术后4h 和8h，观察组认知功能障碍的发生率明显低于对照组，差异具有统计学意义（P ＜0.05）。结论：在行前列腺汽化术老年患者硬膜外麻醉术后认知功能障碍的发生率更低，值得在临床推广使用。
目的：探究硬膜外痳醉和全身痳醉對行前列腺汽化術老年患者術後患者認知功能恢複的影響。方法：選取我院擇期進行手術治療的行前列腺汽化術的患者200例，根據隨機數錶法分成觀察組和對照組兩組，每組100例。對照組患者進行全身痳醉，觀察組患者進行硬膜外痳醉，併在痳醉前及術後4h、8h、24h、48h 對患者進行認知功能評分，併對兩組患者的評分進行比較。結果：兩組患者在術後4h、8h 以及24h的 MMSE 評分與痳醉前相比均有明顯降低，差異具有統計學意義（P ＜0.05）。在術後4h 和8h，對照組患者MMSE 評分要明顯低于觀察組患者，差異具有統計學意義（P ＜0.05）；而在術後24h 和48h，兩組患者 MMSE評分相比，差異不具有統計學意義（P ＞0.05）。術後4h 和8h，觀察組認知功能障礙的髮生率明顯低于對照組，差異具有統計學意義（P ＜0.05）。結論：在行前列腺汽化術老年患者硬膜外痳醉術後認知功能障礙的髮生率更低，值得在臨床推廣使用。
목적：탐구경막외마취화전신마취대행전렬선기화술노년환자술후환자인지공능회복적영향。방법：선취아원택기진행수술치료적행전렬선기화술적환자200례，근거수궤수표법분성관찰조화대조조량조，매조100례。대조조환자진행전신마취，관찰조환자진행경막외마취，병재마취전급술후4h、8h、24h、48h 대환자진행인지공능평분，병대량조환자적평분진행비교。결과：량조환자재술후4h、8h 이급24h적 MMSE 평분여마취전상비균유명현강저，차이구유통계학의의（P ＜0.05）。재술후4h 화8h，대조조환자MMSE 평분요명현저우관찰조환자，차이구유통계학의의（P ＜0.05）；이재술후24h 화48h，량조환자 MMSE평분상비，차이불구유통계학의의（P ＞0.05）。술후4h 화8h，관찰조인지공능장애적발생솔명현저우대조조，차이구유통계학의의（P ＜0.05）。결론：재행전렬선기화술노년환자경막외마취술후인지공능장애적발생솔경저，치득재림상추엄사용。
Objectives:To explore the postoperative cognitive function in elderly patients with vaporization of the prostate with different anesthetic methods.Methods:200 elderly patients with vaporization of the prostate in our hospital were selected and randomly divided into the observation group and control group.The control group was given general anesthesia and observation group was given epidural anesthesia.Cognitive function before anesthesia and post-operative 4h,8h,24h,48h were scored and compared.Results:MMSE score of the two patients in the postoperative 4h,8h and 24h were significantly lower than that before anesthesia,with statistically significant difference (P <0.05).4h and 8h after operation,the MMSE score of patients in the control group was significantly lower than that of the patients in the observation group,with statistically significant difference (P <0.05).4h and 8h after the opera-tion,the incidence of cognitive impairment of the observation group was significantly lower than that of the control group, with statistically significant difference (P <0.05).Conclusion:The incidence of postoperative cognitive dysfunction of elderly patients with vaporization of the prostate after eidural anesthesia is lower and worthy of popularization.
