简介:摘要目的不同麻醉老年患者术后认知功能障碍发生的比较.方法本文选取我院于2012年04月~2015年04月收治的66例胆囊手术老年患者,将其随机分为试验组和对照组,对照组采用静吸复合麻醉方式,试验组采用全凭静脉麻醉方式,对比两组患者的麻醉时间、拔管时间等指标结果.结果试验组的麻醉时间、拔管时间以及手术过后睁眼时间分别是(145.09±11.15)分钟、(31.40±14.13)分中以及(17.09±5.27)分钟,和对照组的的拔管时间以及手术过后睁眼时间结果对比存在显著性差异(P<0.05),具有统计学意义.结论胆囊手术老年患者采用全凭静脉麻醉方式后,可以减少对患者术后的认知功能影响,进一步缩短术后清醒时间,促进其术后早日康复.关键词不同麻醉方式;老年;术后认知功能障碍;比较AbstractObjectiveTocomparedifferentanesthesiapostoperativecognitivedysfunctioninelderlypatients.MethodsourhospitalinApril2012~April2015admitted66casesofgallbladdersurgeryinelderlypatientswererandomlydividedintoexperimentalandcontrolgroups,thecontrolgroupusinginhalationanesthesiaway,experimentalgroupdependsindicatorsresultsintravenousanesthesia,anesthesiatimecomparedtwogroupsofpatients,extubationtime.ResultsThetestgroupofanesthesiatime,extubationtime,andafterthesurgeryiseyeopeningtimerespectively(145.09±11.15)minutes,extubationtime(31.40±14.13)pointsaswell(17.09±5.27)minutes,andthecontrolgroup,andTherewasasignificantdifference(P<0.05)aftersurgeryeyeopeningtimecomparingtheresultswithstatisticalsignificance.ConclusionAftergallbladdersurgeryinelderlypatientswithtotalintravenousanesthesiacanreducetheimpactoncogniGtivefuKnectyiownorindspatients,andtofurtherreducepostoperativerecoverytime,promotetheirpostoperativerecovery.Differentanesthesia;Postoperativecognitivedysfunction;Elderlycompare中图分类号R614.2文献标识码B文章编号1001-5302(2015)09-0723-02