中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
19期
59-60
,共2页
老年患者%全凭静脉麻醉%吸入麻醉%认知功能
老年患者%全憑靜脈痳醉%吸入痳醉%認知功能
노년환자%전빙정맥마취%흡입마취%인지공능
Elderly patients%Total intravenous anesthesia%Inhalation anesthesia%Cognitive function
目的：比较全凭静脉麻醉与吸入麻醉对老年患者术后认知功能的影响。方法将87例老年手术患者分为2组，实验组44例给予全凭静脉麻醉，对照组43例给予吸入麻醉。结果实验组苏醒时间（16.98±6.34）min、导管拔除时间（10.96±5.32）min短于对照组苏醒时间（31.11±10.12）min、导管拔除时间（19.10±6.57）min；术后MMSE评分：术后1 h（26.10±1.38）分、术后3 h（28.95±1.13）分、术后6 h（29.01±0.76）分高于对照组术后1 h（22.78±1.49）分、术后3 h（24.52±1.10）分、术后6 h（25.86±1.15）分，P＜0.05，差异具有统计学意义。结论全凭静脉麻醉可保留老年患者术后的认知功能，其效果优于吸入麻醉。
目的：比較全憑靜脈痳醉與吸入痳醉對老年患者術後認知功能的影響。方法將87例老年手術患者分為2組，實驗組44例給予全憑靜脈痳醉，對照組43例給予吸入痳醉。結果實驗組囌醒時間（16.98±6.34）min、導管拔除時間（10.96±5.32）min短于對照組囌醒時間（31.11±10.12）min、導管拔除時間（19.10±6.57）min；術後MMSE評分：術後1 h（26.10±1.38）分、術後3 h（28.95±1.13）分、術後6 h（29.01±0.76）分高于對照組術後1 h（22.78±1.49）分、術後3 h（24.52±1.10）分、術後6 h（25.86±1.15）分，P＜0.05，差異具有統計學意義。結論全憑靜脈痳醉可保留老年患者術後的認知功能，其效果優于吸入痳醉。
목적：비교전빙정맥마취여흡입마취대노년환자술후인지공능적영향。방법장87례노년수술환자분위2조，실험조44례급여전빙정맥마취，대조조43례급여흡입마취。결과실험조소성시간（16.98±6.34）min、도관발제시간（10.96±5.32）min단우대조조소성시간（31.11±10.12）min、도관발제시간（19.10±6.57）min；술후MMSE평분：술후1 h（26.10±1.38）분、술후3 h（28.95±1.13）분、술후6 h（29.01±0.76）분고우대조조술후1 h（22.78±1.49）분、술후3 h（24.52±1.10）분、술후6 h（25.86±1.15）분，P＜0.05，차이구유통계학의의。결론전빙정맥마취가보류노년환자술후적인지공능，기효과우우흡입마취。
Objective To compare total intravenous anesthesia and inhalation on postoperative cognitive function in elderly patients with anesthesia. Methods Selected 87 cases of elderly surgery patients were divided into two groups, the experimental group had 44 cases of total intravenous anesthesia, the control group of 43 patients treated with the inhaled anesthetic. Results The experimental group recovery time (16.98±6.34) min, catheter removal time (10.96±5.32) min was shorter than the control group recovery time (31.11±10.12) min, catheter removal time (19.10±6.57) min was postoperative MMSE score after 1 h (26.10±1.38) points, after 3 h (28.95±1.13) points, after 6 h (29.01±0.76) points was higher than after 1 h (22.78±1.49) points, after 3 h (24.52±1.10) points, after 6 h (25.86±1.15) points, P<0.05, had difference statistically signiifcance. Conclusion Total intravenous anesthesia may retain cognitive function in elderly patients after its better than inhaled anesthesia.
