Effect of general anesthesia and combined spinal-epidural anesthesia on short-term cognitive function in the elderly patients in the department of orthopedics

VernacularTitle:全身麻醉和腰硬联合麻醉对老年骨科患者术后短期认知功能的影响
Author: Meilan ZHOU ¹
Author Information

1. 江苏省常州市金坛区人民医院
Keywords: cognitive function; general anesthesia; combined spinal-epidural anesthesia; department of orthopedics
From: Journal of Clinical Medicine in Practice 2018;22(1):91-93
CountryChina
Language:Chinese
Abstract: Objective To compare the effect of general anesthesia and combined spinal-epidural anesthesia on short-term cognitive function in the elderly patients in the department of orthopedics.Methods Totally 60 elderly patients in the department of orthopedics were randomly divided into the general anesthesia group and the combined spinal-epidural group.The effect of anesthesia and the short-term cognitive function after operation were compared between the two groups.Results Before anesthesia induction and 6,12,72 h after anesthesia,there was no significant difference in the score of cognitive function between the two groups (P ＞ 0.05).24 h after anesthesia,the score of cognitive function in the general anesthesia group was significantly lower than that in the combined spinal-epidural anesthesia group (P ＜ 0.05).There was no significant difference in the postoperative heart rate and neuropsychosis between the two groups (P ＞ 0.05).Conclusion General anesthesia is easy to cause cognitive impairment,so it is recommended to give priority to combined spinal-epidural anesthesia.