Influence of anesthesia methods on early postoperative cognitive function in elder orthopedic patients
- VernacularTitle:麻醉方式对老年创伤患者术后早期认知功能的影响
- Author:
Bin YU
;
Kangmei HE
;
Xiaoqing ZHANG
- Publication Type:Journal Article
- Keywords:
General anesthesia;
Combined spinal epidural anesthesias Postoperative cognitive dysfunction;
Geriatrics
- From:
The Journal of Clinical Anesthesiology
2010;26(2):110-112
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the influence of anesthesia methoda on early postoperative cognitive function in elder orthopedics patients. Methods Fifty patients aged more than 65 years old with fractured femur randomly received general anesthesia(group G, 28 cases) or unilateral combined spinal epidural anesthesia(group E,22 cases). The assessment of postoperative cognitive {unction referred to the scores that achieved in neuropsychological testing with mini mental state examination (MMSE) by special psychological person on the day before and the first day after surgery. It was considered to he postoperative cognitive dysfunction (POCD) when the score was ≥1 standard deviation(SD). Results The score of MMSE was lower in group G than that in group E on the first day alter surgery(P<0. 05). The incidence of POCD on the first day after surgery was higher in group G than that in group E(42.9% vs. 13. 6%) (P<0. 05). Conclusion Compared to combined spinal epidural anesthesia, more POCD takes place in the eldedy underwent orthopedic surgery under general anesthesia.
