盐酸戊乙奎醚和硫酸阿托品对老年手术患者接受连硬外麻醉术后认知功能障碍发生的比较
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【摘要】目的:观察盐酸戊乙奎醚(以下简称长托宁),硫酸阿托品作为老年手术患者接受硬外麻醉术后认知功能障碍的影响,方法:选择200例ASAⅠ一Ⅲ级,接受连硬外麻醉的老年手术患者随机分为长托宁组为A组,阿托品为B组,均在术前0.5H肌注,并分别在术前1天,术后第1天,术后第3天,术后第7天给予简易智力状态量表(MMSE)评分。结果:两组的MMSE术后评分均下降(P<0.05)患者术后认知功能障碍(POCD),发生率比较有明显差异(P<0.05)。结论:长托宁比阿托品作为老年手术患者连硬外麻醉术前用药明显增加POCD的发生。
【关键词】长托宁;阿托品;老年患者;MMSE;POCD;连硬外麻醉
The comparison which the hydrochloric acid fifth heavenly stem second grade Kui ether and the atropine sulphate accept Lian Yingwai after the old age surgery patient to anaesthetize technique the cognition function barrier occur
Zhao Wu Chen Yunmei
【Abstract】Objective: The observation hydrochloric acid fifth heavenly stem second grade Kui ether (hereafter refers to as long request rather), the atropine sulphate accepts hard outside anaesthetizes the technique the cognition function barrier influence after the old age surgery patient, the Methods: Chooses 200 example ASAⅠOneⅢThe level, accepts the old age surgery patient who Lian Yingwai anaesthetizes to divide into the long request rather group is stochastically A group, the atropine is B group, before the technique 0 ......
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