蛛网膜下腔麻醉和全身麻醉对高龄患者髋关节术后谵妄的影响研究-国际精神病学杂志-CSCIED科技核心评价数据库-手机版

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蛛网膜下腔麻醉和全身麻醉对高龄患者髋关节术后谵妄的影响研究

Subarachnoid anesthesia and general anesthesia on delirium after hip surgery in elderly patients

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刊名	国际精神病学杂志 Journal of International Psychiatry
年，卷(期)	2016, 43(5)
作者	吉元松*,张旭,张德山,李龙,
作者单位	陕西省安康市中心医院骨科医院麻醉科 ; 陕西省安康市中心医院骨科医院麻醉科 ;
摘要	【摘要】目的：比较蛛网膜下腔麻醉和全身麻醉两种麻醉方式对接受髋关节置换手术老年患者的术后谵妄及认知功能的影响；方法：选择2014年1月至2015年12月期间，在我院接受治疗髋关节置换手术的老年患者150例，将入组患者随机分为蛛网膜下腔麻醉组（74例）与全身麻醉组（76例）两组，比较两种麻醉方式对患者术后谵妄及认知功能的影响；结果：对比全身麻醉组，蛛网膜下腔麻醉组术后谵妄的发生率并没有显著提高（P>0.05）,但比较两组认知功能障碍评分（MMSE），蛛网膜下腔麻醉组明显高于全身麻醉组（P<0.05）；结论：蛛网膜下腔麻醉可能会对减少术后谵妄有一定作用，值得推广用于老年患者的髋关节置换手术中。
Abstract	[Abstract] Objective: To compare the difference between subarachnoid and general anesthesia in delirium and cognitive function for the elder patients who underwent hip replacement surgery; Methods: From January 2014 to December 2015, we chose 150 elderly patients who underwent hip replacement surgery in our hospital, the patients were randomly divided into subarachnoid anesthesia group (74 cases) and general anesthesia group (76 cases) two groups, and compared two kinds of anesthesia methods on postoperative delirium and cognitive function; Results: Compared with general anesthesia group, subarachnoid anesthesia group the incidence of postoperative delirium was not increased significantly (P>0.05), but the comparison between the two groups cognitive dysfunction score (MMSE), subarachnoid anesthesia group was significantly higher than the general anesthesia group (P<0.05); Conclusion: The subarachnoid anesthesia had certain effect on reducing postoperative delirium.
关键词	【关键词】蛛网膜下腔麻醉；高龄患者；术后谵妄；认知功能；
KeyWord	Conclusion: The subarachnoid anesthesia had certain effect on reducing postoperative delirium.
基金项目
页码	876-878

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吉元松*,张旭,张德山,李龙. 蛛网膜下腔麻醉和全身麻醉对高龄患者髋关节术后谵妄的影响研究 [J]. 国际精神病学杂志. 2016; 43; (5). 876 - 878.

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