| 摘要: |
| ［摘要］ 目的 探讨丙泊酚与七氟醚对老年手术患者麻醉苏醒期躁动及认知功能恢复的影响。方法 选择2014-12～2016-05行择期手术治疗的老年患者86例，采用随机数字表法分为丙泊酚组42例和七氟醚组44例，比较两组患者麻醉苏醒期躁动及认知功能恢复情况。结果 七氟醚组患者自主呼吸恢复时间、呼之睁眼时间、拔管时间、拔管后语言应答时间均明显长于丙泊酚组（P<0.01）。七氟醚组拔管后5 min、15 min躁动评分均明显高于丙泊酚组（P<0.01）。七氟醚组术后1、4、8 h时简易精神状态检查（MMSE）评分均明显低于丙泊酚组（P<0.05）。结论 丙泊酚对老年手术患者麻醉苏醒期躁动评分优于七氟醚，对患者认知功能影响也较小。 |
| 关键词: 丙泊酚 七氟醚 老年手术患者 苏醒期躁动 认知功能 |
| DOI：10.3969/j.issn.1674-3806.2017.09.16 |
| 分类号:R 614 |
| 基金项目: |
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| The influence of propofol and sevoflurane anesthesia on agitation and cognitive function of elderly patients during the period of postoperative revival |
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NONG Wei-min, LI Chuan-you
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Department of Anesthesiology, the People′s Hospital of Longan County, Guangxi 532799, China
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| Abstract: |
| ［Abstract］ Objective To explore the the effect of propofol and sevoflurane anesthesia on agitation and cognitive function of elderly patients during the period of postoperative revival.Methods 86 elderly patients undergoing the selective operation from December 2014 to May 2016 were randomly divided into the propofol group and the sevoflurane group. The agitation and cognitive function of the patients during the period of postoperative revival were compared between the two groups.Results The time of spontaneous breath, eys opening, extubation and response in the sevoflurane group was signigicantly longer than that in the propofol group(P<0.01). The agitation scores of five and 15 minutes after extubation in the sevoflurane group were signigicantly higher than those in the propofol group(P<0.01). The MMSE scores of 1 h, 4 h, 8 h after the operation in the sevoflurane group were signigicantly lower than those in the propofol group(P<0.05).Conclusion The agitation scores of propofol are signigicantly excellent than those of sevoflurane for the old patients during the period of postoperative revival, and the influence of propofol on the cognitive function is less. |
| Key words: Propofol Sevoflurane Elderly patients with operation Agitation during the period of postoperative revival Cognitive function |
