Discover: The postoperative early cognitive function obstacle correlates with anaesthesia depth

Discover: The postoperative early cognitive function obstacle correlates with anaesthesia depth
Discover: The postoperative early cognitive function obstacle correlates with anaesthesia depth
April 1 (five the west bright military sea of Liu Zhu is bright) of www.chinanews.com Changsha Whether the intersection of anaesthesia and depth and patient's postoperative cognitive function obstacle in early period have relation, the dispute has existed all the time. Even anaesthetize a doctor one-sidedly to pursue and simply anaesthetize simply, so that the patient revives and reduces the hospitalization cost early. But domestic researcher, for the first time through compare with, discover while being clinical, the intersection of anaesthesia and than organize the intersection of patient and postoperative early cognitive the intersection of function and the intersection of obstacle and emergence of incident, obviously reduce deeply depth. One day, the refined hospital of Hunan of middle and southern university has announced this latest research results, study, brief on, anaesthetize doctor through adjust during the operation can reduce the intersection of patient and the intersection of skill and the intersection of hindbrain and the intersection of function and morbidity of obstacle while being controlled to anaesthetize relevant factoring rationally. This research results are in American authority's medical periodical " J Neurosurg Anesthesiol " (" the department of neurosurgery anaesthetizes the magazine ") The 1st issue is issued in January of 2011, cause the extensive concern. It is introduced, have anaesthetized and learnt the experience and offered simply to operation easing pain, raised and anaesthetized safely (reduce and anaesthetize relevant death and complication) , offer comfortable medical treatment and improve the intersection of patient and prognosis, wait for 4 stages. Has anaesthetized complication and mortality to reduce greatly in the past 20 years, the impact on brain function of the anaesthesia is being paid close attention to by people. Discover in recent years: Cross and anaesthetize and unfavorable to patients to resume deeply, there will be possibility of threatening patient's life; It will influence the surgery to be operated to anaesthetize light, even take place and know in patient's skill, cause long-term mental wound to patient. Hunan refined hospital practise department of anesthesia that professor head study group with Guo piece, more than clinical practice compare with discovering through 2 year, the suitable anaesthesia depth can obviously reduce the emergence of patient's early postoperative cognitive function obstacle incident. Subject seminar adopts and all anaesthetizes their subject according to the vein, use one pair of indexes (BIS) frequently of electricity of brain Monitor and anaesthetize the deep way, anaesthetize and grade 96 facial nerve operation patients, and is divided into two groups at random, anaesthetize 46 people of group more lightly, BIS is worth 55-65; Anaesthetize 50 people of group more deeply, BIS is worth 30-40. And carry on the neural psychology test including 9 kinds of projects to the patient ago the skill in postoperative 5 days subsequently. The result reveals, have 11 examples that present the early postoperative cognitive function obstacle to anaesthetize the lighter group, it is only 4 to anaesthetize the group and organize more deeply. Guo piece practise professor say the research count, indicate anaesthesia depth early cognitive the intersection of function and the intersection of obstacle and emergence of incident obviously reduce behind the operation than organize patient deeply, " mechanism and the intersection of POCD and (cognitive function obstacle) over a long time its Emergence mechanism wait still to be clear without being studied further. " This has Chinese Medical Association to anaesthetize the authoritative expert who is known titles such as the member of the standing committee,etc. of the credit to think, the important value that should discover lies in it has briefed on an important information: Anaesthetize the brain prognosis that a doctor can improve the patient by regulating and enclosing the skill one controllably and anaesthetizing the relevant factor, have offered the new thinking for further exploring that is anaesthetized and improved with the brain prognosis. (End)


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