全麻与区域麻醉对术后认知功能的影响：系统综述。
Postoperative cognitive function following general versus regional anesthesia: a systematic review.
机构信息
*Department of Anesthesiology †Center for Behavioral Cardiovascular Health ‡Augustus C. Long Health Sciences Library, Columbia University Medical Center, New York, NY.
出版信息
J Neurosurg Anesthesiol. 2014 Oct;26(4):369-76. doi: 10.1097/ANA.0000000000000120.
Abstract
The effect of anesthetic technique on postoperative outcomes remains in question. This systematic review compares the role of regional versus general anesthesia, with a particular focus on postoperative cognitive function. Potentially relevant articles were identified by searching publicly available computerized databases for this systematic review. Any surgical procedure was accepted with the exception of cardiac, carotid, and neurosurgical procedures. Any regional anesthetic technique was accepted unless combined with a general anesthetic or in conjunction with propofol as a sedative. Any measure of postoperative cognitive function was accepted as long as it was performed no sooner than 7 days postoperatively. Sixteen studies met inclusion criteria and were included in the final analysis. Three studies showed some difference in cognitive function between regional and general anesthesia, whereas the remaining 13 showed no difference between regional and general anesthesia on postoperative cognitive function.
摘要
麻醉技术对术后结果的影响仍存在争议。本系统评价比较了局部麻醉与全身麻醉的作用，特别关注术后认知功能。通过搜索公开可用的计算机数据库，为本次系统评价确定了可能相关的文章。本研究接受任何外科手术，除外心脏、颈动脉和神经外科手术。接受任何局部麻醉技术，除非与全身麻醉联合应用，或与异丙酚联合应用作为镇静剂。接受任何术后认知功能的测量方法，只要它是在术后 7 天内进行的。16 项研究符合纳入标准，并纳入最终分析。三项研究显示局部麻醉和全身麻醉在认知功能上存在一定差异，而其余 13 项研究显示局部麻醉和全身麻醉在术后认知功能上无差异。
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