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不同麻醉方式对老年骨科患者术后短期认知功能的影响 被引量:4

The Influence of Different Anesthesia Method on Postoperative Short-term Cognitive Function of Senile Orthopedic Patients
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摘要 目的:对应用两种不同麻醉方式对接受手术治疗的骨科老年患者实施麻醉的临床效果进行研究。方法:选择在某院接受骨科手术治疗的老年患者86例,随机分为对照组和观察组,平均每组43例。采用常规全身麻醉方式对对照组患者实施麻醉;采用硬膜外麻醉方式对观察组患者实施麻醉。结果:观察组患者术后呼吸功能恢复时间、呼唤睁眼时间、手术后治疗总时间明显短于对照组;麻醉前后MMSE评分的降低幅度明显小于对照组;骨科手术麻醉的效果明显优于对照组;不良反应发生例数明显少于对照组。结论:应用硬膜外麻醉方式对接受手术治疗的骨科老年患者实施麻醉的临床效果非常明显。 Objective:To conduct anesthesia for senile orthopedic patients who have undergone surgery through two different anesthesia methods and study their clinical effect .Methods:Select 86 cases of senile pa‐tients who have undergone orthopedic surgery and were received in some hospital ,randomly divide them into control group and observation group ,43cases for each group .Conduct anesthesia for the patients in the con‐trol group with conventional general anesthesia and the patients in observation group with epidural anaesthe‐sia .Results:In the observation ,postoperative recovery duration of respiratory function and eye-opening time and total time of treatment after operation were obviously shorter than that in control group ,and pre-ortho‐pedic and postorthopedic MMSE scores were obviously less than that in control group .the effect of orthope‐dic anesthesia was obviously better than that in control group ,the cases of patients showing adverse reaction were obviously less than that in control group .Conclusion:Clinically ,it is obviously effective to conduct anes‐thesia for senile orthopedic patients w ho have undergone surgery .
作者 王敏
出处 《数理医药学杂志》 2015年第4期507-508,共2页 Journal of Mathematical Medicine
关键词 不同麻醉方式 手术 骨科 老年患者 认知功能 different anesthesia method surgery orthopedics department elderly patient cognitive function
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