不同麻醉方法对高龄骨科患者术后短期认知功能的影响

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Abstract ObjectiveTo investigate the effect of different anesthesia methods on short-term cognitive function in elderly patients with department of orthopedics.Methods58 elderly patients undergoing department of orthopedics surgery from January 2014 to January 2017 were divided into the combined spinal anesthesia(CSEA)group(n=30)and the general anesthesia(GA)group(n=28)according to different anesthesia methods.The cognitive ability of the two groups of patients after anesthesia 6,12,24,72 h were recorded.The changes of blood pressure(BP)and heart rate(HR)before and after anesthesia were observed,and the occurrence of post operative cognitive dysfunction(POCD)was compared.ResultsThe MMSE scores of 6,12 h after anesthesia were compared with those before anesthesia in group CSEA,the difference was statistically significant(P＜0.05).The MMSE scores of 6,12,24 h after anesthesia were compared with those before anesthesia in group GA,and the difference was statistically significant(P＜0.05).The MMSE score of the 24 h in group CSEA and the GA group after anesthesia were statistically significant(P＜0.05).There was no significant difference in the level of BP and HR between the two groups before and after anesthesia(P＞0.05).The incidence of POCD after anesthesia in group CSEA was lower than that in group GA,and the difference of POCD between two groups of 6,12 h after anesthesia was statistically significant(P＜0.05).ConclusionThe short-term cognitive function of combined spinal anesthesia in elderly department of orthopedics patients is significantly less than general anesthesia,and the side effects are relatively small.

Key words： Alderly department of orthopedics Combined spinal anesthesia General anesthesia Cognitive function

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	Articles by authors
	XIONG Kai1
	WU Zhi-ying2

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XIONG Kai1,WU Zhi-ying2. Influence of different anesthesia methods on postoperative short-term cognitive function in elderly patients with department of orthopedics[J]. 中国当代医药, 2017, 24(32): 115-117转120.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I32/115

[1]	马臻杰，李钊伟.右美托咪定复合丙泊酚全凭静脉麻醉对老年骨科手术患者术后康复期的影响[J].中国老年学杂志，2015，35（7）：1831-1832.
[2]	王建珍，王安硈，张姗，等.不同麻醉方法对骨科老年患者血管性血友病因子、纤维蛋白原、凝血酶抗凝血酶复合物和 C-二聚体的影响[J].上海医学，2014，37（8）：673-677.
[3]	Silbert B，Evered L，Scott D A，et al.Preexisting cognitive impairment is associated with postoperative cognitive dysfunction after hip joint replacement surgery[J].Anesthesiology，2015，122（6）：1224-1234.
[4]	周红梅，邓龙蛟，李水英，等.MoCA和MMSE在老年患者不同麻醉方式下肢骨科手术后认知功能评估中的应用比较[J].山东医药，2016，56（16）：57-59.
[5]	韩建锋，张树泉.不同麻醉方式对老年骨科手术后患者短期认知功能的影响[J].中国老年学杂志，2014，34（19）：5597-5598.
[6]	闫彩云，徐惠青，徐璟琦，等.氟比洛芬酯超前镇痛对下肢骨科手术老年患者术后认知功能及白细胞水平的影响[J].广东医学，2017，38（6）：952-954.
[7]	Sprung J，Roberts RO，Weingarten TN，et al.Postoperative delirium in elderly patients is associated with subsequent cognitive impairment[J].Brit J Anaesth，2017，119（2）：316-323.
[8]	刘喆，周勇，张军，等.不同麻醉方式对老年手术患者术后感染率及疼痛状态的影响比较[J].中华医院感染学杂志，2017，27（1）：172-174.
[9]	陈琛，徐光红，李元海.麻醉与老年患者术后认知功能障碍的研究进展[J].安徽医科大学学报，2014，49（1）：133-136.
[10]	李友安，吴勇.老年下肢关节置换及植入物内固定治疗中应用罗哌卡因腰椎及硬膜外联合麻醉的优势[J].中国组织工程研究，2016，20（9）：1227-1233.
[11]	Dokkedal U，Hansen TG，Rasmussen LS，et al.Cognitive functioning after surgery in middle-aged and elderly Danish twins[J].Anesthesiology，2016，124（2）：312-321.
[12]	车润平，田辉，艾登斌.依达拉奉预处理对全身麻醉骨科手术老年患者术后认知功能障碍的影响[J].山东医药，2015，55（30）：80-81.
[13]	郭红利，张先杰，周裕凯，等.不同麻醉药物对老年骨科手术患者术后认知功能的影响及其机制[J].中国医院药学杂志，2017，37（7）：643-646.
[14]	田阿勇，王以亮，马虹.全身麻醉复合硬膜外麻醉对老年男性患者术后早期认知功能的影响[J].中国医科大学学报，2014，43（3）：252-254.
[15]	康雅琴.老年患者髋关节置换术后早期认知功能障碍的因素分析[J].中国医药科学，2015，5（21）：199-202.
[16]	余锋.七氟烷联合瑞芬太尼对麻醉后认知功能影响[J].中国医药科学，2015，5（23）：149-151.
[17]	沈阳.咪达唑仑、丙泊酚、右美托咪定麻醉对髋关节置换术老年患者术后认知功能障碍的影响[J].中国医药科学，2016，6（15）：152-155.
[18]	胡海燕，郑羡河，王林.右美托咪定对老年骨科患者术后认知功能的影响[J].上海医学，2014，37（6）：525-527.