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1、全憑靜脈麻醉與吸入麻醉對老年患者術(shù)后認知功能的影響于剛通信作者楊衛(wèi)英王清兵山東省濱州市中心醫(yī)院麻醉科山東濱州251700目的:對全憑靜脈麻醉與吸入麻醉對老年患者術(shù)后認知功能的影響進行探析與比較.方法:隨機選取2013年1月至2015年11月來我院就診的80例老年手術(shù)患者,分為兩組,分別使用全憑靜脈麻醉與吸入麻醉進行手術(shù)治療,統(tǒng)計分析與比較兩組患者的麻醉效果、手術(shù)前后MMSE評分、術(shù)后不良反應發(fā)生率與術(shù)后睜眼時間等.結(jié)果:觀察組患者在術(shù)前、術(shù)后24h的MMSE評分分別是(29.8±1.0)分、(29.7±0.9)分,對照組分別是(29.7&
2、plusmn;0.9)分、(29.7±0?8)分,無顯著差異性(P>0.?5).觀察組患者在術(shù)后1h、3h、6h等的MMSE評分分別是(27.6±1.3)分、(29.7±1.0)分、(29.1±1.1)分,對照組分另1
3、是(22.4±1?4)分、(26.0±1.3)分、(27.3±1.2)分,差異性明顯(P<0.05).觀察組患者的術(shù)后睜眼時間是(14.8±6.6)min,對照組是(33.0±11.2}min,差異性顯著(P<0.05).兩組
4、患者均未出現(xiàn)明顯不良反應.結(jié)論:全憑靜脈麻醉在老年患者手術(shù)中的應用,對其術(shù)后認知功能的影響較小,提高老年患者的臨床療效.【關(guān)鍵詞】全憑靜脈麻醉;吸入麻醉;老年患者;術(shù)后認知功能;影響【Abstract】objective:toallbyintravenousanesthesiaandinhalationanesthesiaeffectsoncognitivefunctionaftersurgeryforelderlypatientswithanalysisandcomparison.Methods:randomlyselectedfromJanuary2013toN
5、ovember2015toourhospital80casesofelderlysurgicalpatients,dividedintotwogroups,sepaGratelyUSESallbyintravenousanesthesiaandinhalationanesthesiasurgery,statisticalanalysisandcomparisonoftwogroupsofpatientswithanesthesiaeffect,MMSEscorebeforeandafteroperation,theincidenceofadversereaction
6、sandtheopentime,etc.Results:theobservationgroupofpatientsinthepreoperativeandpostoperative24hoftheMMSEscore(29.8—1.0),(29.7—0.9)andcontrolgroup(29.7—0.9),(29.7—0.8),therewasnosignificantdifference(P>0.05).Observationgroupofpatientsinpostoperative1h,3h,6hMMSEscore(27.6—1.3),(29.7—1.0),(
7、29.1—1.1)andcontrolgrouprespectively(22.4—1.4),(26.0(—1.3),(27.3—1.2),differenceobvious(P<0.05).Observationgroupofpatientswithpostoperativeopentimeis(14.8+6.6)min,thecontrolgroupwas33.0+11.2)min,significantdifferences(P<0.05).Twogroupsofpatientswithnoobviousadversereactionoccurred.Conc
8、lusion:allbyintravenousanestheGsiasu【rKgeeyrywionrdesIdIerlypatientsztheapplicationoftheinfluenceofcognitivefunctionaftersurgeryforsmall,raisetheclinicalcurativeeffectofelderlypatients.allbyintravenousanesthesiajnhalationanesthesia;Elderlypatients;Postoperativecognitivefunction;impac