首页 | 本学科首页   官方微博 | 高级检索  
     

术后疼痛对老年患者术后早期认知功能的影响
引用本文:李丽萍,江晓,葛衡江. 术后疼痛对老年患者术后早期认知功能的影响[J]. 重庆医学, 2009, 38(14)
作者姓名:李丽萍  江晓  葛衡江
作者单位:解放军第324医院麻醉科,重庆,400020;第三军医大学大坪医院麻醉科,重庆,400042
摘    要:目的 观察手术创伤引起的疼痛对老年患者腹部手术后早期认知功能的影响.方法 70例行择期开腹手术的老年患者,分为PCIA组(35例)和对照组(35例).两组患者术前1d和术后6、24、72h及术后第7天分别进行神经精神功能的3个量表的测验.结果 两组患者中有60例患者完成了本研究的全部测验.术后出现认知功能明显改变的病例数,镇痛组少于非镇痛组(P<0.05).结论 手术后疼痛是腹部手术后老年患者早期出现认知功能改变的危险因素之一,减轻术后疼痛对于减少术后认知功能改变具有明显作用.

关 键 词:老年人  术后认知功能  麻醉  镇痛

Effects of pain after surgery on early postoperative cognitive dysfunction after abdominal surgery in the elderly
LI Li-ping,JIANG Xiao,GE Heng-jiang. Effects of pain after surgery on early postoperative cognitive dysfunction after abdominal surgery in the elderly[J]. Chongqing Medical Journal, 2009, 38(14)
Authors:LI Li-ping  JIANG Xiao  GE Heng-jiang
Affiliation:LI Li-ping,JIANG Xiao,GE Heng-jiang (1.Department of Anesthesiology,324 Hospital of PLA,Chongqing 400020,China,2.Department of ANesthesiology,Daping Hospital,Third Military Medical University,Chongqing 400042,China)
Abstract:Objective To observe effects of pain on early postoperative cognitive dysfunction after abdominal surgery in the elderly.Methods Seventy elderly patients undergoing elective abdominal surgery were allocated to group of patient-controlled in travenous analagesia(PCIA)(35cases) or group of no PCIA(35cases).Cognitive function was assessed preoperatively and 6hr,24hr,72hr,7days postoperatively using three neuropsychological scales.A postoperative deficit in the three neuropsychological scales was defined when d...
Keywords:aged  postoperative cognitive  anesthesia  analgesia  
本文献已被 CNKI 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号