中国医学创新2016,Vol.13Issue(23):39-41,42,4.DOI:10.3969/j.issn.1674-4985.2016.23.011
麻醉深度对老年患者术后认知功能的影响
Effect of Depth of Anesthesia on Postoperative Cognitive Dysfunction in Elderly Patients
摘要
Abstract
Objective:To explore the effect of different depth of anesthesia postoperative cognitive dysfunction in elderly patients.Method:The 150 patients who were over the age of 65,were randomly divided into three groups,each group had 50 cases,group L:50<BIS value <60,group M:40<BIS value<50,group D:30<BIS value<40.Cognitive function was assessed using the Mini-Mental State Examination(MMSE)at 1 d before anesthesia and 3,5 d after surgery,Cognitive function was assessed using Digit span test and Trail-Making Test(TMT) at 1 d before anesthesia and 3 d.Result:Three scores of group L and group D were compared with preoperative,the differences were statistically significant(P<0.05).Compared with groups M,MMSE scores,Digit span test and TMT completion time had significant differences in group L and group D(P<0.05). Conclusion:Effect of depth of anesthesia on postoperative cognitive function in elderly patients.The intraoperative BIS value was maintained at 40-50,which had little effect on postoperative cognitive function in elderly patients.关键词
麻醉深度/老年患者/术后认知功能障碍/静吸复合麻醉Key words
Depth of anesthesia/Elderly patients/Postoperative cognitive dysfunction/Combined intravenous-inhalational anesthesia引用本文复制引用
张杰,张玉平,游春枝,钟声宏,黄琼..麻醉深度对老年患者术后认知功能的影响[J].中国医学创新,2016,13(23):39-41,42,4.基金项目
2016年江西省卫计委科研计划(20167100);2015年九江市科技局社会发展攻关项目 ()