中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
11期
31-31,33
,共2页
全麻%椎管内麻醉%老年%骨科手术%认知功能%精神状态
全痳%椎管內痳醉%老年%骨科手術%認知功能%精神狀態
전마%추관내마취%노년%골과수술%인지공능%정신상태
General anesthesia%Spinal canal anesthesia%Old age%Orthopaedic surgery%Cognitive function%Mental state
目的：分析全麻与椎管内麻醉应用在老年骨科手术患者对其术后认知功能及精神状态的影响。方法80例择期老年骨科手术患者，随机分为两组，每组40例，分别采取椎管内麻醉（观察组）与全麻（对照组）。对两组患者的术后认知功能和精神状态情况进行分析对比。结果观察组患者的神经错乱和认知障碍发生率明显低于对照组（P<0.05）。结论相比于全身麻醉，采用椎管内麻醉的神经错乱和认知障碍发生率更低，值得在临床应用上推广。
目的：分析全痳與椎管內痳醉應用在老年骨科手術患者對其術後認知功能及精神狀態的影響。方法80例擇期老年骨科手術患者，隨機分為兩組，每組40例，分彆採取椎管內痳醉（觀察組）與全痳（對照組）。對兩組患者的術後認知功能和精神狀態情況進行分析對比。結果觀察組患者的神經錯亂和認知障礙髮生率明顯低于對照組（P<0.05）。結論相比于全身痳醉，採用椎管內痳醉的神經錯亂和認知障礙髮生率更低，值得在臨床應用上推廣。
목적：분석전마여추관내마취응용재노년골과수술환자대기술후인지공능급정신상태적영향。방법80례택기노년골과수술환자，수궤분위량조，매조40례，분별채취추관내마취（관찰조）여전마（대조조）。대량조환자적술후인지공능화정신상태정황진행분석대비。결과관찰조환자적신경착란화인지장애발생솔명현저우대조조（P<0.05）。결론상비우전신마취，채용추관내마취적신경착란화인지장애발생솔경저，치득재림상응용상추엄。
Objective To analyse the general and spinal canal anesthesia used in the old patients with orthopaedic surgery on postoperative cognitive function and the inlfuence of mental state.Methods 80 patients undergoing elective elderly orthopaedic surgery, were randomly divided into two groups, 40 cases in each group, spinal canal anesthesia were taken respectively (observation group) and general anesthesia(control group). On two groups of patients with postoperative cognitive function and mental state of situation analysis comparison.Results Observation group of patients with dementia and cognitive impalrment was signiifcantly lower than the control group(P<0.05).Conclusion Compared with systemic anesthesia, the use of spinal canal anesthesia of the lower incidence of dementia and cognitive impalrment, is worth popularization in clinical application.
