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局部麻醉与全身麻醉下老年性白内障摘除术后记忆功能的比较

A comparison of memory function following local and general anaesthesia for extraction of senile cataract.

作者信息

Karhunen U, Jönn G

出版信息

Acta Anaesthesiol Scand. 1982 Aug;26(4):291-6. doi: 10.1111/j.1399-6576.1982.tb01769.x.

Abstract

The memory performance of 60 female patients, scheduled for either local or general anaesthesia and extraction of senile cataract, was investigated. Six subtests of the Wechsler Memory Scale and four items of memory tests according to Luria were performed. One week postoperatively there was a diminution in the performance of the Wechsler Memory Scale and Luria tests. Comparison of the pre- and postoperative diminutions between the local and general anaesthesia groups was statistically significant only in the Luria tests. According to this study general anaesthesia does not affect memory function more profoundly than local anaesthesia supplemented with tranquilizing and/or analgesic drugs. In this respect, the advantages of general anesthesia should be utilized, at least in patients without clearcut contraindications.

摘要

对60例计划接受局部或全身麻醉并进行老年性白内障摘除术的女性患者的记忆表现进行了研究。进行了韦氏记忆量表的六个分测验和根据鲁利亚方法设计的四项记忆测试项目。术后一周,韦氏记忆量表和鲁利亚测试的表现有所下降。局部麻醉组和全身麻醉组术前和术后下降情况的比较仅在鲁利亚测试中具有统计学意义。根据这项研究,全身麻醉对记忆功能的影响并不比补充镇静和/或镇痛药的局部麻醉更严重。在这方面,应利用全身麻醉的优势,至少在没有明确禁忌证的患者中如此。

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