摘要
目的：观察俯卧位全身麻醉对骨科手术患者术后认知功能的影响，为临床实践提供参考与指导。方法：收集40例骨科手术患者作为临床研究对象，根据其手术体位，将其划分为仰卧位组和俯卧位组，每组20例，两组患者的麻醉方法相同，主要观察两组患者在麻醉前后的认知功能情况，分析体位差异对患者术后认知功能的影响。结果：两组患者在术后均发生了术后认知障碍，但俯卧位组患者的术后认知障碍发生率更高，恢复也更慢，与仰卧位组比较差异存在明显的统计学意义（P<0.05）。结论：俯卧和仰卧两种体位下的全麻骨科手术术后均可能会发生认知功能障碍，但俯卧位的认知功能障碍发生率明显更高，认知功能恢复时间也明显更慢，所以应当选择更加科学合理的体位对患者进行全身麻醉，以保证患者的术后生活质量。
Abstract
Objective: To observe the effect of prone position general anesthesia on postoperative cognitive function in patients with orthopaedic surgery, provide reference for clinical practice and guidance.Method: 40 patients with orthopaedic surgery in our hospital were selected as the clinical research objects, according to operation position, they were randomly divided into the supine position group and prone position group, 20 cases in each group. The two groups of patients were given the same anesthesia method. The cognitive function of the two groups before and after anesthesia were mainly observed, the influence of postural differences on postoperative cognitive function of patients was analyzed. Result: The supine position group and the prone position group occurred after surgery postoperative cognitive impairment, but the incidence of cognitive dysfunction in prone position group was significantly higher than that of the supine position group, recovered more slowly, the differences were statistically significant (P<0.05).Conclusion: The prone and supine position under general anesthesia orthopaedic surgery may occur the postoperative cognitive dysfunction, but the incidence of cognitive dysfunction in prone position is significantly higher, cognitive function recovery time is also significantly slower, so should choose a more scientific and reasonable postures of patients with general anesthesia, to ensure the postoperative quality of life of patients.
国家科技期刊平台
NSTL
维普
万方数据