中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2015年
3期
290-292
,共3页
邓立琴%宋凤香%辛婧媛%侯蕾娜%朱晗月%赵海莹%陈岗%李晶晶
鄧立琴%宋鳳香%辛婧媛%侯蕾娜%硃晗月%趙海瑩%陳崗%李晶晶
산립금%송봉향%신청원%후뢰나%주함월%조해형%진강%리정정
回族%认知障碍%手术后并发症%老年人
迴族%認知障礙%手術後併髮癥%老年人
회족%인지장애%수술후병발증%노년인
HUI NATIONALITY%Cognition disorders%Postoperative complications%Aged
目的 评价回族因素对老年患者术后认知功能障碍(POCD)发生的影响.方法 择期全麻下行胸部、腹部或骨科手术的老年患者425例,年龄65~75岁,体重50~ 85 kg,ASA分级Ⅰ或Ⅱ级,根据民族分为2组:回族组(n=209)和汉族组(n=216).分别于术前ld和术后3~7d时采用简易精神状态量表(MMSE)评分评估认知功能,术后MMSE评分较术前下降4分及以上即为发生POCD,记录POCD的发生情况.结果 回族组POCD发生率(33.0%)与汉族组POCD发生率(30.5%)比较差异无统计学意义(P>0.05).结论 回族因素不会影响老年患者POCD的发生.
目的 評價迴族因素對老年患者術後認知功能障礙(POCD)髮生的影響.方法 擇期全痳下行胸部、腹部或骨科手術的老年患者425例,年齡65~75歲,體重50~ 85 kg,ASA分級Ⅰ或Ⅱ級,根據民族分為2組:迴族組(n=209)和漢族組(n=216).分彆于術前ld和術後3~7d時採用簡易精神狀態量錶(MMSE)評分評估認知功能,術後MMSE評分較術前下降4分及以上即為髮生POCD,記錄POCD的髮生情況.結果 迴族組POCD髮生率(33.0%)與漢族組POCD髮生率(30.5%)比較差異無統計學意義(P>0.05).結論 迴族因素不會影響老年患者POCD的髮生.
목적 평개회족인소대노년환자술후인지공능장애(POCD)발생적영향.방법 택기전마하행흉부、복부혹골과수술적노년환자425례,년령65~75세,체중50~ 85 kg,ASA분급Ⅰ혹Ⅱ급,근거민족분위2조:회족조(n=209)화한족조(n=216).분별우술전ld화술후3~7d시채용간역정신상태량표(MMSE)평분평고인지공능,술후MMSE평분교술전하강4분급이상즉위발생POCD,기록POCD적발생정황.결과 회족조POCD발생솔(33.0%)여한족조POCD발생솔(30.5%)비교차이무통계학의의(P>0.05).결론 회족인소불회영향노년환자POCD적발생.
Objective To evaluate the effect of Hui nationality on postoperative cognitive dysfunction (POCD) in elderly patients.Methods Four hundred and twenty-five patients,aged 65-75 yr,weighing 50-85 kg,of ASA physical status Ⅰ or Ⅱ,scheduled for elective thoracic,abdominal or orthopedic surgery under general anesthesia,were enrolled in the study.According to the nationalities,they were divided into Hui nationality group (Hui group,n =209) and Han nationality group (Han group,n=216).Cognitive function was evaluated using Mini-Mental State Examination (MMSE) at 1 day before operation and 3-7 days after operation.The patients were diagnosed as having POCD if postoperative MMSE scores decreased by ≥ 4 compared with that before operation.The development of POCD was recorded in Hui and Han nationalities.Results There were no significant differences in the incidence of POCD between Hui group (33.0%) and Han group (30.5%).Conclusion Hui nationality dos not affect the development of POCD in elderly patients.