[在泌尿外科实践中,老年患者认知障碍的特殊性.]
M V Kochetkova1, M Y Soluyanov1, D V Khabarov1,2
1Research Institute of Clinical and Experimental Lymphology - Branch of Institute of Cytology and Genetics, 2 Timakova str., Novosibirsk 630117, Russian Federation,
Advances in gerontology = Uspekhi gerontologii
|October 2, 2023
概括
在老年人前列腺手术期间的镇静可以改善认知功能并减少抑郁症症状. 这项研究发现,监测的镇静剂对术后的认知状态和抑郁症状产生了积极的影响.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 患有良性前列腺增生症 (BPH) 的老年学患者经常经历认知障碍.
- 评估手术内镇静对这一群体认知功能的影响至关重要.
研究的目的:
- 为了评估经过BPH手术的老年泌尿病患者的认知功能.
- 为了确定手术内镇静对认知障碍和抑郁症状的影响.
主要方法:
- 对60名患有BPH的老年患者进行了前列腺双极性顺尿管内核化 (BTUEP) 的前列腺前列腺前列腺前列腺前列腺前列腺的前性队列研究.
- 患者被分为有意识和镇静的组.
- 使用拉姆西镇静量表和BIS监测监测镇静深度;用蒙特利尔认知功能量表和汉密尔顿抑郁量表评估认知状态.
主要成果:
- 在手术前的评估显示,在两组患者中都有轻微的认知障碍.
- 与有意识组相比,镇静剂组显示出失眠,工作能力/活动问题和精神焦虑的统计显著减少 (p<0.005).
- BIS监测控制的镇静对认知功能产生了积极的影响,并减少了抑郁症状.
结论:
- 脊柱麻醉与BIS监测控制的镇静相结合,有利于接受BTUEP的老年患者的认知功能.
- 这种麻醉方法有效地减轻了这种患者群体的抑郁症状.
- 术内镇静是一种有价值的策略,用于管理老年泌尿病患者的认知和心理健康.
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