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Postoperative delirium after general anesthesia vs. spinal anesthesia in geriatric patients

机译:老年患者全麻与脊髓麻醉后的operative妄

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BACKGROUND: Influence of the type of anesthesia on postoperative delirium was examined in geriatric patients with femoral neck fracture. METHODS: Forty patients aged 70 or more were randomly allocated to receive either general anesthesia (sevoflurane, nitrous oxide in oxygen, G group, n = 21) or spinal anesthesia (0.5% bupivacaine, S group, n = 19). G group received the oxygen therapy during the 12-hour postoperative period. Postoperative assessments included the rate of postoperative delirium during the 4-day postoperative period, oxygen saturation during the 18-hour postoperative period, the value of hemoglobin at 1 postoperative day and the number of analgesics requirements during the 4-day postoperative period. RESULTS: The rate of postoperative delirium was similar between the two groups during the 4-day postoperative period. However, that of S group tended to be higher during the 1-day postoperative period. Postoperative analgesic effect and the value of hemoglobin at 1 postoperative day were similar between the two groups. Oxygen saturation was similar between the two groups except 6 hours after the operation. CONCLUSIONS: The type of anesthesia, general or spinal, does not affect the postoperative delirium in geriatric patients with femoral neck fracture.
机译:背景:在老年性股骨颈骨折患者中,检查了麻醉方式对ir妄术后的影响。方法:40名年龄在70岁或以上的患者被随机分配接受全麻(七氟醚,氧气中的一氧化二氮,G组,n = 21)或脊髓麻醉(0.5%布比卡因,S组,n = 19)。 G组术后12小时接受氧疗。术后评估包括术后4天的术后del妄发生率,术后18小时的血氧饱和度,术后1天的血红蛋白值以及术后4天的止痛药数量。结果:术后4天,两组的del妄发生率相似。然而,术后1天S组的S值往往较高。两组术后1天的镇痛效果和血红蛋白值相似。两组之间的氧饱和度相似,除了术后6小时。结论:全身麻醉或脊柱麻醉对老年股骨颈骨折患者的del妄没有影响。

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