加速康复外科理念改善老年腰椎间盘突出患者术后认知功能的效果

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (0 KB) HTML (37 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To discuss the enhanced recovery after surgery(ERAS)concept in improving the cognitive function after spinal surgery in elderly patients.Methods 120 elderly patients with lumbar intervertebral disc herniation who underwent surgical treatment in our hospital from July 2016 to June 2018 were selected for this research.They were divided into the experimental group and the control group according to the random number table method,60 patients in each group.ERAS concept were administered in the experimental group and routine perioperative measures were administered in the control group.Patients were given a simple mental status scale(MMSE)score at 12 h before surgery and 12,24 and 48 after surgery,and visual analogue scale(VAS)and sedation(Ramsay)score at 4,8,24 and 48 h after surgery.Results The MMSE score of preoperative 12 h the experimental group and the control group showed no significant difference (P＞0.05).The MMSE score of 12,24 and 48 h postoperative in the experimental group were higher than those in the control group,with statistically significant differences (P＜0.05).Postoperative 72 h MMSE score in the experimental group showed no significant difference (P＞0.05).The VAS scores of postoperative 4,8,24 and 48 h in the experimental group were lower than those in the control group,and the differences were statistically significant(P＜0.05).Postoperative scores of the experimental group at 4,8,24 and 48 h VAS were lower than those of the control group,with statistically significant differences (P＜0.05).Conclusion ERAS treatment scheme can improve the postoperative cognitive function in patients with lumbar disc,but ERAS tactics in specific measures and the relationship between postoperative cognitive function remains to be further study,its specific mechanism remains to be further discussed.

Key words： Enhanced recovery after surgery Spinal surgery Lumbar disc herniation Postoperative cognitive dysfunction Elderly patients

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HUANG Dao-li
	ZHU Guan-nan
	OU Guang-xin
	XIAO Qing-hua
	QIU Wei-dong

Cite this article:

HUANG Dao-li,ZHU Guan-nan,OU Guang-xin, et al. Effect of accelerated rehabilitation surgery on postoperative cognitive function of elderly patients with lumbar disc herniation[J]. 中国当代医药, 2019, 26(5): 177-180.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I5/177

[1]	Zhong M，Liu JT，Jiang H，et al.Incidence of spontaneous resorption of lumbar disc herniation：a meta-analysis[J].Pain Physician，2017，20（1）：E45-E52.
[2]	盛钰，李树怀，徐凯智，等.依达拉奉对老年腰椎间盘突出患者术后认知功能障碍的影响[J].包头医学院学报，2017，33（12）：27-28.
[3]	杨伟伟，王楠，田明.右美托咪定联合帕瑞昔布钠对老年颈椎间盘突出症患者术后应激及认知功能的影响[J].安徽医药，2018，22（5）：979-982.
[4]	王斌.五点式腰背肌长期锻炼对行腰椎后路减压内固定联合植骨融合术患者腰椎稳定性及腰背痛症状的影响[J].颈腰痛杂志，2018，39（2）：223-225.
[5]	Slieker J，Frauche P，Jurt J，et al.Enhanced recovery ERAS for elderly：a safe and beneficial pathway in colorectal surgery[J].Int J Colorectal Dis，2017，32（2）：215-221.
[6]	江波，陶利军.老年患者术后认知功能障碍相关麻醉因素研究进展[J].中华老年多器官疾病杂志，2017，16（2）：157-160.
[7]	金理照，丁梯杰，丁爱平.全身麻醉与椎管内麻醉对老年骨科手术患者术后认知功能的影响[J].中国全科医学，2017，20（S2）：153-154.
[8]	李鹤云，曹金凤，王永祥，等.七氟烷吸入麻醉与靶腔输注丙泊酚对老年消化道肿瘤术后认知功能及血液流变学的影响[J].实用癌症杂志，2018，12（2）：317-320.
[9]	王以新，梁忆非，薛剑锋，等.快速康复外科策略管理对老年患者术后认知功能的影响[J].重庆医学，2017，46（32）：4561-4563.
[10]	Jeong O，Park YK，Mi RJ，et al.Compliance with Guidelines of enhanced recovery after surgery in elderly patients undergoing gastrectomy[J].World J Surg，2017，41（4）：1040-1044.
[11]	陈鹏，王鹏，黄庆先.加速康复外科策略对非体外循环下冠状动脉旁路移植术患者术后早期认知功能的影响[J].心肺血管病杂志，2017，36（4）：280-284.
[12]	张曙报，梅玫，吕文艳，等.右美托咪定对老年脊柱手术患者应激反应和术后早期认知功能的影响[J].中华全科医学，2017，15（2）：249-251.
[13]	安然，庞倩芸，刘红亮.麻醉深度影响非心脏手术患者全身麻醉手术后认知功能障碍发生的Meta分析[J].国际麻醉学与复苏杂志，2017，38（4）：73-74.
[14]	杜娜，郭成林，杨梅，等.加速康复外科在中国大陆胸外科临床现状——基于胸外科医生及护士调查分析[J].中国肺癌杂志，2017，20（3）：157-162.
[15]	Yeung SE，Hilkewich L，Gillis C，et al.Protein intakes are associated with reduced length of stay：a comparison between enhanced recovery after surgery （ERAS） and conventional care after elective colorectal surgery[J].Am J Clin Nutr，2017，106（1）：44-48.
[16]	刘子嘉，黄宇光.临床麻醉在快速康复外科方面新进展[J].中国医学科学院学报，2015，37（6）：750-754.
[17]	白雪莉，李国刚，梁廷波.术后加速康复理念在肝胆胰外科手术应用现状及策略[J].中国实用外科杂志，2015，35（4）：360-363.
[18]	朱晗月，李晶晶，邓立琴，等.麻醉因素与代谢综合征老年病人术后认知功能障碍的关系：异丙酚复合麻醉与七氟醚复合麻醉比较[J].中华麻醉学杂志，2017，37（8）：910-913.