不同麻醉方法对老年患者术后认知功能影响的比较

目的探讨不同麻醉方法对老年患者术后认知功能的影响。方法将280例在我院进行手术的老年患者随机分为观察组及对照组,对照组患者采用全麻,观察组患者采用椎管内麻醉。结果 2组患者麻醉后,术后1h、3h、6h、24hMMSE评分均明显低于麻醉前,对照组的MMSE评分明显低于观察组,以上差异有统计学意义（P〈0.05）。结论对老年患者以椎管内麻醉为好,不但可减少全麻药的用量、有助于患者术后迅速苏醒外,还应可以降低POCD的发生率。

The Comparison of Different Anesthetic Methods on Postoperative Cognitive Function Effects In Elderly Patients

Objective Discuss different anesthetic methods on postoperative cognitive function effects in elderly patients. Methods 280 cases of surgery elderly patients were randomly divided into control group groups and the control group in our hospital, the control group patients were treated with general anesthesia,the observation group patients were treated with spinal anesthesia. Results Two groups of patients after anesthesia,after surgery 1h,3h,6h,24hMMSE scores were significantly lower than that before anesthesia, the control group MMSE score was significantly lower than the observation group, the difference was statistically significant（P〈0.05）.Conclusion elderly patients Should be used spinal anesthesia,not only can reduce the dosage of anesthetics and help patients wake up quickly after,but also can reduce the incidence of POCD.