不同麻醉方式对老年骨科手术后患者短期认知功能与睡眠状况的影响
The Effect of Different Anesthesia Methods on Short-term Cognitive Function and Sleep Status of Elderly Patients after Orthopedic Surgery
黄文彬1
作者信息
- 1. 福建泉州市泉港区医院麻醉科,泉州,365000
- 折叠
摘要
目的:探讨不同麻醉方式对老年骨科手术患者术后短期认知功能、睡眠状况的影响.方法:选取 2022 年 1 月至2022 年9 月福建泉州市泉港区医院收治的老年骨科手术患者96 例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组48 例.在实施手术治疗中对照组采用全麻手术方案,观察组采用硬膜外手术方案.比较 2 组患者术后短期认知功能、睡眠状况、麻醉不良反应、术后镇痛效果.结果:2 组患者术前、术后 24h简易精神状态检测量表(MMSE)比较,差异无统计学意义(P＞0.05);术后2h、术后6h、术后 12h观察组MMSE评分高于对照组(P＜0.05).术前2 组患者匹兹堡睡眠质量量表(PSQI)比较,差异无统计学意义(P＞0.05),术后观察组PSQI评分低于对照组,差异有统计学意义(P＜0.05).观察组麻醉不良反应发生率低于对照组,差异有统计学意义(P＜0.05).观察组术后2h、术后6h、术后 12h、术后24h数字模拟评分法(NRS)比较,差异无统计学意义(P＞0.05).结论:硬膜外麻醉相较全身麻醉对老年骨科患者手术治疗术后短期认知功能的影响更小,同时也可减少对患者睡眠质量的影响,保障麻醉安全性,获得良好的术后镇痛效果.
Abstract
Objective:To explore the effects of different anesthesia methods on short-term cognitive function and sleep status in elderly orthopedic surgery patients.Methods:A total of 96 elderly orthopedic surgery patients admitted to department of Anesthe-siology,Quangang District Hospital,Quanzhou from January 2022 to September 2022 were selected as the research subjects,and were randomly divided into two groups using a random number table method,with 48 patients in each group.In the implementation of surgical treatment,the control group used a general anesthesia surgical plan,while the observation group used an epidural surgi-cal plan.Compare short-term cognitive function,sleep status,adverse anesthetic reactions,and postoperative analgesic effects be-tween two groups of patients.Results:The results showed that there was no significant difference(P＞0.05)in the comparison of the Simplified Mental State Examination Scale(MMSE)between the two groups of patients before and 24 hours after surgery;The MMSE scores of the observation group were higher than those of the control group at 2 hours,6 hours,and 12 hours after surgery(P＜0.05).There was no significant difference in the Pittsburgh Sleep Quality Inventory(PSQI)between the two groups of pa-tients before surgery(P＞0.05);The postoperative PSQI score of the observation group was lower than that of the control group,the difference was statistically significant(P＜0.05).The incidence of adverse reactions to anesthesia in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Comparison of digital analog scoring(NRS)at 2 h,6 h,12 h and 24 h after operation in The difference was not statistically significant(P＞0.05).Conclu-sion:Epidural anesthesia has a smaller impact on short-term cognitive function after surgical treatment in elderly orthopedic pa-tients compared to general anesthesia,and can also reduce the impact on patient sleep quality,ensure anesthesia safety,and a-chieve good postoperative analgesic effects.
关键词
硬膜外麻醉/全身麻醉/老年骨科手术/认知功能/睡眠状况Key words
Epidural anesthesia/General anesthesia/Elderly orthopedic surgery/Cognitive function/Sleep status引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据