中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
62-63
,共2页
全身麻醉%硬膜外麻醉%短期认知功能
全身痳醉%硬膜外痳醉%短期認知功能
전신마취%경막외마취%단기인지공능
General anesthesia%Epidural anesthesia%Short-term cognitive function
目的：研究不同麻醉方式对骨科患者术后短期认知功能的效应。方法2014年1-12月期间，按照随机原则将研究患者分成全身麻醉组(静脉诱导)和硬膜外麻醉组(硬膜外诱导)。对比两种麻醉方式下的患者短期认知功能。结果麻醉消退患者苏醒后的6 h、12 h、24 h时硬膜外麻醉组患者的MMSE评分较全身麻醉组均显著升高、认知功能障碍发生率更低(χ2=7.89、7.32、8.41，P<0.05)。结论硬膜外麻醉安全性更高，具有推广价值。
目的：研究不同痳醉方式對骨科患者術後短期認知功能的效應。方法2014年1-12月期間，按照隨機原則將研究患者分成全身痳醉組(靜脈誘導)和硬膜外痳醉組(硬膜外誘導)。對比兩種痳醉方式下的患者短期認知功能。結果痳醉消退患者囌醒後的6 h、12 h、24 h時硬膜外痳醉組患者的MMSE評分較全身痳醉組均顯著升高、認知功能障礙髮生率更低(χ2=7.89、7.32、8.41，P<0.05)。結論硬膜外痳醉安全性更高，具有推廣價值。
목적：연구불동마취방식대골과환자술후단기인지공능적효응。방법2014년1-12월기간，안조수궤원칙장연구환자분성전신마취조(정맥유도)화경막외마취조(경막외유도)。대비량충마취방식하적환자단기인지공능。결과마취소퇴환자소성후적6 h、12 h、24 h시경막외마취조환자적MMSE평분교전신마취조균현저승고、인지공능장애발생솔경저(χ2=7.89、7.32、8.41，P<0.05)。결론경막외마취안전성경고，구유추엄개치。
Objective To study the influence of different anesthesia techniques on short-term cognitive function of elderly patients in the Department of Orthopedics after operation. Methods 264 elderly patients treated in our hospital during January 2014 and December 2014 were randomly divided into general anesthesia group (by Intravenous induction) and epidural anesthesia group (by epidural induction). Short-term cognitive functions of patients of the two groups were compared. Results MMSE scores of the pa-tients 6h, 12h, 24h after anesthesia dissipation were higher, and incidence of cognitive dysfunction lower, in the epidural anesthe-sia group than in the general anesthesia group, and the differences were statistically significant (χ2=7.89, 7.32,8.41,P<0.05). Conclusion Epidural anesthesia is worth promotion due to its higher safety.
