To assist symplectic analgesia in advance to analysis the influence of cognitive function after surgery for elderly patients / 中国医学装备

ABSTRACT

Objective:To explore the exploratory application Dezocine analgesics for older surgical patients preemptive analgesia for patients after surgery cognitive function.Methods: March 2011 to August 2013 in our hospital undergoing elective hip replacement surgery in elderly patients 180 cases were randomly divided into a control group and the test group, 90 cases in each group. Elderly patients before anesthesia injection 5mg each test group of Dezocine liquid; as the control group were injected normal saline injection; After all patients systemic anesthesia. Before and after surgery were done at different times for the mini-mental state examination two groups of patients (MMSE) test, plasma cortisol concentration detection and dysfunction (POCD) in the overall proportion of patients in each group postoperative cognitive happen.Results: Compared to the control group, the experimental group of elderly patients with preoperative and postoperative MMSE scores were higher; and its concentration in plasma cortisol decreased; experimental group POCD occurred in the proportion of elderly patients accounted for 19%, compared with the control group 32% slightly slight lower. Conclusion: Dezocine preemptive analgesia in elderly patients undergoing certain aspects of the application has a positive effect, reduce patient postoperative pain, reduce the risk of postoperative cognitive dysfunction in the elderly.