摘要
目的比较硬膜外麻醉及全身麻醉对老年骨科手术患者氧耗量(VO2)、认知功能的影响。方法将400例接受骨科手术治疗的老年患者根据麻醉方式分为对照组(200例,全身麻醉)与观察组(200例,硬膜外麻醉)。比较两组的麻醉效果。结果观察组的Ramsay评分、BIS、PACU停留时间及苏醒时间均优于对照组(P<0.05)。T1、T2、T3时,两组的HR、MAP均与T0时有显著差异,但观察组的变化较平稳(P<0.05)。T2、T3时,观察组的VO2、VCO2均低于对照组(P<0.05)。T4、T5时,观察组的MMSE评分高于对照组(P<0.05)。观察组的不良反应总发生率及POCD发生率均低于对照组(P<0.05)。结论在老年患者骨科手术中,采用硬膜外麻醉的效果较好,有利于维持生命体征稳定,改善VO2及认知障碍。
Objective To compare the effects of epidural anesthesia and general anesthesia on oxygen consumption(VO2)and cognitive function in elderly patients undergoing orthopedic surgery.Methods A total of 400 elderly patients who underwent orthopedic surgery treatment were divided into control group(200 cases,general anesthesia)and observation group(200 cases,epidural anesthesia)according to the anesthesia modes.The anesthesia effect was compared between the two groups.Results Ramsay score,BIS,PACU stay time and recovery time of the observation group were better than those of the control group(P<0.05).At T1,T2 and T3,HR and MAP of the two groups were significantly different from those at T0,but the changes in the observation group were more stable(P<0.05).At T2 and T3,VO2 and VCO2 in the observation group were lower than those in the control group(P<0.05).At T4 and T5,the MMSE score of the observation group were higher than those of the control group(P<0.05).The total incidence of adverse reactions and incidence of POCD in the observation group were lower than those in the control group(P<0.05).Conclusion In orthopedic surgery of elderly patients,the epidural anesthesia has better effect,which is conducive to maintain the stability of vital signs,improve VO2 and cognitive impairment.
作者
王炜
王俊中
胡明成
WANG Wei;WANG Junzhong;HU Mingcheng(Nanzheng People's Hospital,Hanzhong 723100,China)
出处
《临床医学研究与实践》
2020年第23期104-106,共3页
Clinical Research and Practice
关键词
硬膜外麻醉
全身麻醉
老年骨科手术
VO2
认知功能
epidural anesthesia
general anesthesia
geriatric orthopedic surgery
VO2
cognitive function
