全凭静脉麻醉与吸入麻醉对老年患者的影响

杨冲锋

（陕西省森林工业职工医院，陕西 西安，710300）

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摘要：

目的 比较全凭静脉麻醉与吸入麻醉对老年患者术后认知功能的影响。方法 选取我院收治的126例老年患者，随机抽取63例为研究组患者给予全凭静脉麻醉；另63例为对照组患者给予吸入麻醉，比较两组患者术后认知功能。结果 研究组的自主呼吸时间、睁眼时间与拔管时间均少于对照组（P<0.05）；研究组的术后认识功能评分和疼痛评分均低于对照组（P<0.05）；研究组的POCD发生率与麻醉满意率均优于对照组（P<0.05）。结论 老年患者手术治疗中应用麻醉后可能出现POCD，但与吸入麻醉相比，全凭静脉麻醉可缩短术后复苏时间，减轻疼痛，提高患者生活质量，利于其早日康复，值得推广。

关键词：全凭静脉麻醉；吸入麻醉；认知功能

中图分类号：R614文献标志码：A文章编号：2096-1413(2017)13-0068-02

Effect of total intravenous anesthesia and inhalation anesthesia on elderly patients
YANG Chong-feng
(Shaanxi Sengong Hospital, Xi an 710300, China)

ABSTRACT: Objective To compare the total intravenous anesthesia and inhalation anesthesia on postoperative cognitive function on elderly patients. Methods One hundred and twenty-six cases of elderly patients in our hospital were selected and randomly divided into study group (63 cases) which were given total intravenous anesthesia and control group (63 cases) which were given inhalation anesthesia. The cognitive function after treatment in the two groups were compared. Results The spontaneous breathing time, open eyes time and extubation time of the study group were less than those of the control group (P<0.05). The postoperative cognitive function score, pain score of the study group were significantly lower than those of the control group (P<0.05). The incidence rate of POCD and anesthesia satisfaction rate of the study group were better than those of the control group (P<0.05). Conclusion The elderly patients may have cognitive dysfunction after using anesthesia in surgical treatment, but compared with inhalation anesthesia, total intravenous anesthesia can shorten the postoperative recovery time, reduce the pain and improve the quality of life of patients. It is conducive to its early rehabilitation, which is worthy of promoting.
KEYWORDS: intravenous anesthesia; inhalation anesthesia; cognitive function

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