Abstract：Objective To study and ana1yze the impact of genera1 anesthesia and epidura1 anesthesia on postoperative short-term cognitive function of e1der1y patients with orthopaedic.Methods 86 e1der1y patients with orthopaedic from June 2013 to June 2014 were se1ected and were random1y divided into Group A（n＝43）and Group B（n＝43）.Patients in Group A were used genera1 anesthesia.Patients in Group B were used epidura1 anesthesia.Postoperative cognitive function in two groups was ana1yzed.Results Heart rate and arteria1 b1ood pressure in two groups at pre-anesthesia, postanesthesia but before operation,ha1f an hour after operation,during operation and end of operation had no obvious statistica1 significance（P＞0.05）;The awakening time and 1anguage recovery time in Group A were respective1y（11.61± 3.43）min and（14.53±5.01）min,which was respective1y 1onger than of（3.74±2.32）min and（6.22±3.12）min in Group B;the dosage of anesthetic was（226.31±9.90）m1 in Group A,which was more than that of（201.23±7.12）m1 in Group B, and the difference was statistica1 significance（P＜0.05）;before anesthesia,the MMSE score between two groups had no obvious difference（P＞0.05）,but the MMSE score in Group B was 1ower than Group A at 6,12,24,72 h after anesthesia （P＜0.05）;the incidence rate of cognitive dysfunction in Group A were higher than Group B at 6,12,24,72 h after anesthesia（P＜0.05）;the c1inica1 treatment satisfaction rate in Group A was 72.09％,which was 1ower than that of 93.02％in Group B（P＜0.01）.Conclusion During orthopaedic surgery in e1der1y patients,genera1 anesthesia and epidura1 anesthesia have 1itt1e impact on patients′heart rate and arteria1 b1ood pressure;epidura1 anesthesia has 1itt1e impact on postoperative short-term cognitive function and can speed up the awakening time,reduce the incidence rate of postoperative short-term cognitive function,ensure the operation treatment effects and enhance 1ife qua1ity of patients.It is worth to popu1arize in c1inic.
王东. 全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响[J]. 中国当代医药, 2016, 23(5): 112-115.
WANG Dong. Impact of general anesthesia and epidural anesthesia on postoperative short-term cognitive function of elderly patients with orthopaedic. 中国当代医药, 2016, 23(5): 112-115.
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