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《Sichuan Journal of Physiological Sciences》 2017-03
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Effects of general anesthesia and spinal anesthesia on postoperative mental status and cognitive function in elderly patients with orthopedics

Chen Ming-xin;Tianjin Huanhu Hospital;  
Objective:To investigate and analyze the effects of general anesthesia and spinal anesthesia on postoperative mental status and cognitive function in elderly patients with orthopedics.Methods:Seventy-eight cases of elderly patients with orthopedics surgery in our hospital from August 2014 to August 2016 were selected and divided into group A and group B according to the order of admission,39 cases in each group.Patients in group A underwent spinal anesthesia,and patients in group B underwent general anesthesia.Surgical indicators,MMSE score and cognitive dysfunction between group A and group B were compared.Results:The open time,operation time,anesthesia time,anesthesia dose,declarative MMSE score,the incidence of cognitive dysfunction of patients in group A were better than group B(P0.05).Conclusion:Compared with general anesthesia,spinal anesthesia has better application effect in elderly patients with orthopedics operation,it can significantly improve the patient′s mental state,and the risk of cognitive impairment in patients is small,worthy of promotion.
【CateGory Index】: R614
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