陕西医学杂志2013，Vol.42Issue(2)：175-176,179,3.
不同比重布比卡因腰麻对老年患者术后早期认知功能的影响
Influence of different specific gravity Bupivacaine for lumbar anesthesia on early postoperative cognitive function in elder patients
姚永远 1肖春龙 1吴家伟1
作者信息
- 1. 陕西省宝鸡市中医医院麻醉科,宝鸡,721001
- 折叠
摘要
Abstract
Objective: To explore the influence of different specific gravity of Bupivacaine for lumbar anes-thesia on early postoperative cognitive function in elderly patients. Methods:90 patients aged more than 60 year old were randomly assigned to 3 groups. Hypobaric group(group A) were given 0. 25% hypobaric Bupivacaine 5ml,Hy-perbaric group(group B) were given 0. 5% hyperbaric Bupivacaine 3ml, Isobaric group(group C) were given 0. 25% isobaric Bupivacaine 4ml. Cognition function of each patient Id before and ld,3d,5d after operation was evaluated by MMSE methed. It was considered to be postoperative cognitive dysfunction (POCD) when the score was≥1 stand-ard deviation. Results:The score of MMSE on the first day after surgery was lower than the score before surgery(P <0. 05). There were cases what had acute cognitive dysfunction in group A,and cases in group B, and cases in group C, There were no significant differences between the 3 groups(P>0. 05). Conclusion:There is no significant influ-ence of different specific gravity of Bupivacaine for lumbar anesthesia on early postoperative cognitive function in eld-erly patients.关键词
老年人/麻醉,脊椎/布比卡因/比重/麻醉恢复期/认知障碍Key words
Aged / Anesthesia/ spinal/ Bupivacaine / Specific gravity / Anesthesia recovery period分类
医药卫生引用本文复制引用
姚永远,肖春龙,吴家伟..不同比重布比卡因腰麻对老年患者术后早期认知功能的影响[J].陕西医学杂志,2013,42(2):175-176,179,3.
