中国药业2017，Vol.26Issue(6)：55-57,3.DOI:10.3969/j.issn.1006-4931.2017.06.017
全身麻醉与腰硬联合麻醉对老年下肢骨折术后认知功能及疼痛评分的影响比较
Influence Comparison of General Anesthesia and Combined Spinal Epidural Anesthesia on Postoperative Cognitive Function and Pain Score for Elderly Patients with Lower Limb Fracture
孙舒辉 1姚继红 1杨艳梅1
作者信息
- 1. 中国人民解放军第155医院麻醉科,河南开封 475003
- 折叠
摘要
Abstract
Objective To investigate the influence comparison of general anesthesia and combined spinal epidural anesthesia(CSEA) on postoperative cognitive function and pain scores in elderly patients with lower limb fracture. Methods Totally 180 elderly patients with lower limb fractures admitted to the hospital from November 2012 to October 2015 were divided into the treatment group and the con-trol group according to the different anesthesia methods,90 cases in each group. The treatment group was treated by CSEA,while the control group was treated by general anesthesia. The incidence of postoperative cognitive dysfunction(POCD)and the score of postopera-tive pain in the two groups were compared. Results The incidence of POCD in the treatment group was 15. 56%,which was signifi-cantly lower than that 33. 33% in the control group(p < 0. 05);the MMSE scores of the treatment group were significantly higher than those of the control group at the finish time,3 d,7 d after operation respectively(p < 0. 05);the visual analogue scale(VAS)scores of the treatment group were significantly higher than those of the control group at 6,10,15 d after operation(p < 0. 05). Conclusion The treatment of CSEA has less impact of cognitive function on elderly patients with lower limb fracture surgery,and the postoperative pain is lighter,the recovery is faster,it is worthy of clinical promotion.关键词
全身麻醉/腰硬联合麻醉/老年/下肢骨折/术后认知功能障碍/疼痛视觉模拟评分Key words
general anesthesia/combined spinal and epidural anesthesia/elderly/lower limb fracture/postoperative cognitive dysfunction/visual analogue scale score分类
医药卫生引用本文复制引用
孙舒辉,姚继红,杨艳梅..全身麻醉与腰硬联合麻醉对老年下肢骨折术后认知功能及疼痛评分的影响比较[J].中国药业,2017,26(6):55-57,3.
