摘要
目的观察老年腹腔镜胆囊切除术患者术中不同压力二氧化碳气腹对其术后认知功能的影响。方法选取2017年9月～2018年7月九江学院附属医院行腹腔镜胆囊切除术的老年患者80例,根据随机数字表法分为低压组与标准压组,各40例,观察患者术后认知功能及恢复情况。结果低压组与标准压组术后恢复情况基本相同,差异无统计学意义(P>0.05);两组麻醉诱导前、术后48 h、术后72 h MMSE评分比较,差异无统计学意义(P>0.05),术后6 h、术后24 h、术后48 h MMSE评分均低于麻醉诱导前(P<0.05),且标准压组术后6 h、术后24 h MMSE评分低于低压组(P<0.05)。结论老年患者行腹腔镜胆囊切除术时,低二氧化碳气腹压力可能减轻对术后认知功能的影响。
Objective To observe the effect of different pressure carbon dioxide pneumoperitoneum on postoperative cognitive function in elderly patients undergoing laparoscopic cholecystectomy.Methods 80 elderly patients undergoing laparoscopic cholecystectomy in Jiujiang University Affiliated Hospital from September 2017 to July 2018 were enrolled.According to the random number table method,they were divided into low pressure group and standard pressure group,40 cases each.Observe the postoperative cognitive function and recovery of the patient.Results The recovery of the low pressure group and the standard pressure group were basically the same,the difference was not statistically significant（P〉0.05）.There was no significant difference in the MMSE scores between the two groups before and after anesthesia induction,48 h after surgery and 72 h after surgery（P〉0.05）,MMSE scores were lower than 6h after operation,24 h after operation and 48 h after operation（P〈0.05）,the MMSE scores of the standard compression group were lower than the low pressure group at 6 h and 24 h after operation（P〈0.05）.Conclusion In elderly patients undergoing laparoscopic cholecystectomy,low carbon dioxide pneumoperitoneum may reduce the impact on postoperative cognitive function.
作者
尹增盛
李淑琴
崔辉
YIN Zeng-sheng;LI Shu-qin;CUI Hui(Department of Anesthesiology,Jiujiang University Affiliated HospitaI,Jiujiang 332000,Jiangxi,China)
出处
《医学信息》
2018年第20期86-87,90,共3页
Journal of Medical Information
基金
江西省教育厅科学技术研究项目(编号:GJJ170964)
关键词
腹腔镜胆囊切除术
二氧化碳气腹压力
老年患者
术后认知功能
Laparoscopic cholecystectomy
Carbon dioxide pneumoperitoneum pressure
Elderly patients
Postoperative cognitive function
