CAJ | 학술논문

目的：探讨在高龄患者的手术中，全凭静脉麻醉和吸入麻醉两种方式对术后认知功能影响。方法于2013年11月~2014年12月接受我院手术治疗的高龄患者（60岁以上）中，随机选择128例患者均分为两组。64例实验组患者给予全凭静脉麻醉，64例对照组患者给予吸入麻醉。比较两组患者术后睁眼时间并在手术前后对患者的认知情况分组进行统计评价后对比。结果两组患者术前及术后24h的认知功能相近，P>0.05。在术后1h,3h,6h时两组患者认知功能的评价中，实验组患者的评分明显高于对照组，前者的睁眼时间较后者短，P<0.05。结论全凭静脉麻醉的方式在高龄患者手术麻醉方法的比较中，较吸入麻醉法表现出了更小的认知功能影响，更适合用于手术治疗。
목적：탐토재고령환자적수술중，전빙정맥마취화흡입마취량충방식대술후인지공능영향。방법우2013년11월~2014년12월접수아원수술치료적고령환자（60세이상）중，수궤선택128례환자균분위량조。64례실험조환자급여전빙정맥마취，64례대조조환자급여흡입마취。비교량조환자술후정안시간병재수술전후대환자적인지정황분조진행통계평개후대비。결과량조환자술전급술후24h적인지공능상근，P>0.05。재술후1h,3h,6h시량조환자인지공능적평개중，실험조환자적평분명현고우대조조，전자적정안시간교후자단，P<0.05。결론전빙정맥마취적방식재고령환자수술마취방법적비교중，교흡입마취법표현출료경소적인지공능영향，경괄합용우수술치료。
Objective: To investigate the surgery in elderly patients, total intravenous anesthesia and inhalation anesthesia function in two ways postoperative cognitive. Methods: November 2013 - December 2014 to accept our hospital surgery in elderly patients (60 years of age), and randomly selected 128 patients were divided into two groups. 64 cases in the experimental group were treated with total intravenous anesthesia, 64 cases in the control group were treated with inhaled anesthesia. After comparing the two groups of patients after eye opening time before and after the surgery the patient's cognitive evaluation packet statistics. Results: Preoperative and postoperative cognitive function similar to 24h, P> 0.05. Postoperative 1h, 3h, 6h evaluation of cognitive function in two groups of patients, the patients in the experimental group was significantly higher scores, the eyes of the former than the latter time is short, P <0.05. Conclusion: The way to compare total intravenous anesthesia in elderly patients undergoing anesthesia method, showed a smaler than the cognitive function of inhalation anesthesia is more suitable for surgery.