中国典型病例大全

目的 探究老年骨科全麻手术患者术后认知功能障碍发生情况及影响因素。方法 采用MMSE量表评估2020年1月—2024年7月在东莞市中医院就诊的360例老年骨科全麻患者术后认知障碍发生情况，分析老年骨科全麻手术患者术后认知功能障碍发生的影响因素。结果 发生术后认知障碍者105例（29.17%），多因素Logistic回归分析显示，年龄、糖尿病、心血管疾病、脑血管疾病情况、手术时间、失血量及术中低血压时间是老年骨科全麻手术患者术后认知功能障碍发生的影响因素（P<0.05）。结论 老年骨科全麻手术患者术后认知功能障碍发生率较高，且年龄、糖尿病、心血管疾病、脑血管疾病情况、手术时间、失血量及术中低血压时间均是其影响因素。

Objective To investigate the postoperative cognitive impairment occurrence of elderly patients with orthopedic general anesthesia surgery and its influence factors. Methods The postoperative cognitive impairment rate of 360 elderly patients with orthopedic general anesthesia surgery in Dongguan Hospital of Traditional Chinese Medicine from January 2020 to July 2024 were evaluated with MMSE scale, and the influence factors of postoperative cognitive impairment occurrence of elderly patients with orthopedic general anesthesia surgery were analyzed. Results 105 cases(29.17% of the total)were with postoperative cognitive impairment, the multivariate logistic regression analysis showed that the influence factors of postoperative cognitive impairment occurrence of elderly patients with orthopedic general anesthesia surgery include the age, diabetes, cardiovascular disease, cerebrovascular disease,operation time, blood loss and time of intraoperative hypotension(P<0.05). Conclusions The postoperative cognitive impairment rate of elderly patients with orthopedic general anesthesia surgery is high, and the influence factors include the age, diabetes, cardiovascular disease, cerebrovascular disease, operation time, blood loss and time of intraoperative hypotension.