本文選題：老年　切入點(diǎn)：骨科　出處：《臨床合理用藥雜志》2016年11期

【摘要】：目的比較椎管內(nèi)麻醉與全身麻醉應(yīng)用于高齡骨科手術(shù)患者的臨床效果。方法選取2013年11月-2015年12月醫(yī)院行骨科手術(shù)的老年患者99例,隨機(jī)分為研究組50例和對照組49例。研究組行椎管內(nèi)麻醉,對照組行全身麻醉,比較2組的麻醉效果。結(jié)果研究組麻醉藥用量明顯少于對照組,其語言陳述時間短于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)前2組高齡患者M(jìn)MSE評分比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后1h、3h,研究組MMSE評分明顯高于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。研究組術(shù)后神經(jīng)錯亂發(fā)生率10.00%明顯低于對照組的40.82%,其術(shù)后認(rèn)知障礙發(fā)生率為6.00%明顯低于對照組的26.53%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論高齡骨科手術(shù)中,椎管內(nèi)麻醉的效果優(yōu)于全身麻醉,其麻醉藥用量較少,語言陳述時間短,術(shù)后MMSE評分高,神經(jīng)錯亂與認(rèn)知障礙發(fā)生率低,有助于高齡患者的手術(shù)進(jìn)展,值得臨床推廣應(yīng)用。
[Abstract]:Objective to compare the clinical effects of intraspinal anesthesia and general anesthesia in elderly patients undergoing orthopaedic surgery.Methods 99 elderly patients undergoing orthopedic surgery from November 2013 to December 2015 were randomly divided into study group (n = 50) and control group (n = 49).The study group was treated with intraspinal anesthesia and the control group with general anesthesia.Results the dosage of anesthetic in the study group was significantly less than that in the control group, and the time of language statement in the study group was shorter than that in the control group, and the difference was statistically significant (P 0.05).There was no significant difference in MMSE score between the two groups before operation (P 0.05), but the MMSE score in the study group was significantly higher than that in the control group at 1 hour or 3 h after operation (P 0.05).The incidence of postoperative neurosis in the study group was significantly lower than that in the control group (10.00% vs 40.82%), and the incidence of postoperative cognitive disorder was 6.00% lower than that in the control group (26.53%). The difference was statistically significant (P 0.05).Conclusion in the elderly orthopedic surgery, the effect of intraspinal anesthesia is better than that of general anesthesia, with less anesthetic dosage, shorter speech statement time, higher MMSE score, lower incidence of neurologic disorder and cognitive impairment, which is helpful to the surgical progress of the elderly patients.It is worth popularizing and applying in clinic.
【作者單位】： 貴州醫(yī)科大學(xué)附屬醫(yī)院;
【分類號】：R614

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本文編號：1706659