摘要
目的了解老年患者术后短期认知功能障碍与患者焦虑状况、抑郁状况的相关性。方法选择105例60岁以上(ASAⅠ～Ⅲ)行腹部外科手术的老年患者,参加测试的患者术前均征得本人及家属的同意。精神测试包括韦氏成人智力量表(简明),韦氏记忆力量表(简明),简易智力状态检查表,焦虑自评量表,抑郁自评量表。比较术前1 d及术后1周的精神测试的结果。抑郁状况采用抑郁自评量表测量,限定大于41分。焦虑状况采用焦虑自评量表测量,限定大于40分。结果术后1周与术前的认知功能测试的结果存在着统计学差异。术前及术后的抑郁状况与认知功能下降有相关性。结论麻醉对老年患者认知功能的短期影响有显著性临床意义。术后短期认知功能障碍与患者抑郁状况有一定的相关性,可能有一定的临床意义。
Objective To determine the influence of anesthesia on cognitive dysfunction in elderly patients with anxite or depression. Methods 105 patients（ ASA Ⅰ - Ⅲ） aged 60 and over scheduled to abdominal surgery. The protocol was reviewed and approved by all patients or relatives. A battery of psychometric tests, including the Wechsler Adult Intelligence Scale - Revised （ WAIS - R）, Wechster Memory Scale- Revised （WMS- R）, Mini- Mental State Examination （MMES）and various neuropsychological mensures were and ministerd by observer just before surgery and again 1 week later. Depressed Mood was measured by the Self- Rating Depression Scale（SDS）, and defined as a score above 41. Anxiety Mood was measured by the Self- Rating Anxiety Scale（SAS）, and defined as a score above 40. Results There was significant difference between before surgery and again 1 week later in the assessments of cognitive and functional competence. There was correlation between depression and cognitive decline in either before anesthesia or after anesthesia. Conclusion Cognitive and functional competence in elderly patients have significant clinical difference after operation. There was correlation between depression and cognitive decline and seemed to have clinical difference.
出处
《国际麻醉学与复苏杂志》
CAS
2007年第5期389-392,共4页
International Journal of Anesthesiology and Resuscitation
关键词
老年人
认知
焦虑
抑郁
术后
elderly
cognition
anxiety
depression
postoperative period
作者简介
通讯作者：李洪，Email：li．hbs@163．com
