The comparison of the early cognitive function of elderly patients underwent sevoflurane static in-halation combined anesthesia and total intravenous anesthesia after total hip replacement
10.3969/j.issn.1005-6483.2018.02.021
- VernacularTitle:七氟醚静吸复合麻醉与全凭静脉麻醉对高龄患者髋关节置换手术后早期认知功能的影响比较
- Author:
Lei LIU
1
;
Min PENG
;
Tao CHEN
Author Information
1. 433199,湖北省潜江市中心医院麻醉科
- Keywords:
sevoflurane static inhalation combined anesthesia;
total intravenous anesthesia;
total hip replacement;
cognitive function
- From:
Journal of Clinical Surgery
2018;26(2):142-144
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the early cognitive function of elderly patients underwent sevoflurane static inhalation combined anesthesia and total intravenous anesthesia after total hip replace-ment.Methods A total of 80 cases with femoral neck fractures were randomly divided into two groups with 40 cases in each group.The A group was given sevoflurane static inhalation combined anesthesia and the B group was given total intravenous anesthesia.The cognitive function score of patients before and after anesthesia,the incidence of postoperative cognitive dysfunction(POCD)and the postoperative recovery were recorded and analyzed.Results The mini-mental state examination(MMSE)score at 2 h(23.08 ± 2.10)and 6 h(24.86 ± 1.51)after surgery in the A group were significantly higher than that at 2 h (21.34 ± 1.61)and 6 h(22.12 ± 1.56)in the B group.There were significant differences between the two groups(P<0.05).The incidence of POCD in the A group(20.0%)was significantly lower than that in the B group(32.5%).There were significant differences between the two groups(P<0.05).The MoCA score at 2 h(23.88 ± 1.32),6 h(24.56 ± 0.88)and 1 d(26.12 ± 1.03)after surgery in the A group were significantly higher than that at 2 h(21.78 ± 0.88),6 h(22.98 ± 1.21)and 1 d(24.48 ± 1.13)in the B group.There were significant differences between the two groups(P<0.05).Conclusion The ap-plication of sevoflurane static inhalation combined anesthesia can decrease the incidence of early POCD and effectively improve the cognitive ability of elderly patients after total hip replacement.
