| Abstract |
Objective To analyze the effect of general anesthesia combined with epidural anesthesia on postoperative cognitive function in elderly orthopedic patients. Methods From August 2022 to January 2023, 89 cases of elderly patients with orthopedic surgery were treated in our hospital, 44 cases of patients with general anesthesia were included in the control group, 45 cases of patients with general anesthesia combined with epidural anesthesia were included in the observation group. Results Before anesthesia, the scores of cognitive function of the control group and the observation group were (28.15 ± 0.27) and (28.24 ± 0.29) respectively, and there was no significant difference between the two groups (P > 0.05); after anesthesia, the scores of cognitive function of the patients in the observation group and the control group were (8.19 ± 1.25), (9.69 ± 2.58), (13.75 ± 0.84), (19.12 ± 0.64) and (13.45 ± 2.12), (14.25 ± 2.42), (14.25 ± 2.42), (23.33 ± 2.62), significantly higher than that of the control group, and the difference was significant (P < 0.05); the dosage of anesthesia of the patients in the observation group (201.23 ± 7.14), recovery time (3.78 ± 2.12), recovery time of language (6.28 ± 3.16) were significantly less than that of the control group (6.2236 ± 9.58), (65± 3.45) and (14.55 ± 5.52), with statistical significance (0.05). Conclusion The combination of general anesthesia and epidural anesthesia can reduce the short-term cognitive function, shorten the time of recovery and the time of language recovery. It has high clinical value.
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