Effects of general anesthesia and epidural anesthesia on postoperative short-term cognitive function inelderly orthopedic patients
全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响研究

摘要

目的 探讨全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响。方法 选取该院2020年4月到2021年6月收治的骨科患者60例进行研究，平均分为两组，其中对照组30例，给予全身麻醉，观察组30例，给予全身麻醉联合硬膜外麻醉。比较两种麻醉手段对骨科患者的术后短期认知功能、自我管理评分、患者满意度以及不良反应的发生概率的影响。结果 观察组患者术后短期认知功能优于对照组，观察组患者不良反映的发生概率明显低于对照组，观察组的自我管理评分明显高于对照组，观察组的患者满意度高于对照组，2组相比，差异具有统计学意义（P<0.05）。结论 全身麻醉联合硬膜外麻醉干预应用于骨科患者，可以提高患者的术后短期的认知功能，降低患者不良反应的发生率，提高患者术后自我管理能力以及患者对手术过程的满意度，非常值得推行运用。

Abstract

Objective To investigate the effects of general anesthesia and epidural anesthesia on short-term cognitive function in elderly orthopedic patients after surgery.
Methods A total of 60 orthopedic patients admitted to our hospital from April 2020 to June 2021 were selected and divided into two groups, including 30 cases in the control group, who were given general anesthesia, and 30 cases in the observation group, who were given general anesthesia combined with epidural anesthesia. To compare the effects of two anesthesia methods on postoperative short-term cognitive function, self-management score, patient satisfaction and the probability of adverse reactions in orthopedic patients.
Results The short-term postoperative cognitive function of the observation group was better than that of the control group, the occurrence probability of adverse reactions of the observation group was significantly lower than that of the control group, the self-management score of the observation group was significantly higher than that of the control group, and the patient satisfaction of the observation group was higher than that of the control group, and the differences between the two groups were statistically significant (P<0.05).
Conclusion   The application of general anesthesia combined with epidural anesthesia in orthopedic patients can improve the short-term postoperative cognitive function of patients, reduce the incidence of adverse reactions, improve the postoperative self-management ability of patients and patients' satisfaction with the surgical process, which is very worthy of implementation and application.