【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：选取近两年在我院接受手术治疗的80例老年骨科患者作为研究对象，按照数字表达法将其分为观察组(n=40)与参考组(n=40)，观察组术中采用硬膜外麻醉，参考组术中采用全身麻醉，观察两组患者术后短期认知变化情况。结果：观察组麻醉后恢复评分(PAS)、简易智力状态检查表(MMES)、韦氏记忆量表(WMS)评分均明显优于参考组，术后认知功能障碍发生率显著低于参考组(P<0.05)。结论：老年人受手术影响较大，无论何种麻醉方式，其术后短期认知功能均可受到不同程度影响；与全身麻醉比较，硬膜外麻醉对术后短期认知影响更小。

    【关键词】全身麻醉；硬膜外麻醉；老年骨科； 认知功能

    Effects of general anesthesia and epidural anesthesia on short-term cognitive function in elderly orthopaedic patients

    Abstract Objective： to investigate the effect of general anesthesia and epidural anesthesia on short-term cognitive function in elderly orthopaedic patients. Methods： 80 elderly orthopedic patients who received surgical treatment in our hospital in recent two years were divided into two groups according to digital expression ......