The effects of sevoflurane inhalation anesthesia and spinal canal anesthe-sia on cognitive function in patients with urinary surgery in the elderly
- VernacularTitle:七氟醚吸入全麻和椎管内麻醉对老年泌尿外科手术患者认知功能的影响
- Author:
Yunliang CAI
1
;
Xin WANG
;
Chunjie PAN
;
Hong ZHU
;
Wen CHEN
Author Information
1. 深圳市龙岗区人民医院麻醉科
- Keywords:
Sevoflurane;
Inhalation anesthesia;
Spinal canal anesthesia;
Elderly;
Urinary surgery;
Cognitive function
- From:
China Modern Doctor
2014;(14):79-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of sevoflurane inhalation anesthesia and spinal canal anesthesia on cogni-tive function in patients with urinary surgery in the elderly. Methods Researched 68 patients that undergoing elective urinary surgery in elderly patients, and then randomly divided into the sevoflurane inhalation anesthesia group (group A) and spinal canal anesthesia group (group B). The two groups were recorded time of anesthesia operation, surgical blood loss and transfusion volume, low blood pressure and the number of hypoxemia occurred, at last used the simple mental state examination (MMSE) to evaluate two groups of patients with 1 d before anesthesia and postoperative 1 d, 3 d, 7 d cognitive function. Results Two groups of anesthesia operation in time, surgical blood loss and transfusion volume, low blood pressure and the number of hypoxemia occurred had no significant differences(P>0.05). Two groups of postoper-ative 1 d, 3 d MMSE score were significantly lower than before operation, and the group A was significantly lower than group B, the differences were statistically significant(P <0.05);MMSE of A group ofter treatment for 7days were signifi-cantly lower than before the operation, but there was no significant difference compared with controls of groupA ofter treatment for 7 days (P>0.05); The incidence of POCD postoperative 1 d and 3 d in groupA were significantly higher than that of group B, with significant difference (P<0.05), and the incidence of POCD difference of two groups of post-operative 7 d was not significant (P >0.05). Conclusion Sevoflurane inhalation anesthesia is spinal canal anesthesia cognitive dysfunction occurred more often in patients with elderly urinary surgery.
