全身麻醉与椎管内麻醉下肢骨折术后患者认知障碍发生率Meta的分析

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Abstract Objective To analyze on the domestic and foreign literature on the incidences of cognitive impairment of general anesthesia or intraspinal anesthesia after lower extremity fractures by Meta analysis. Methods The related research reports published on Chinese Wanfang, PubMed, VIP, CNKI, Cochrane and EMbase databases from January 2013 to February 2018 on the incidences of cognitive impairment of general anesthesia or intraspinal anesthesia after lower extremity fractures were selected. Two staff members were screened in accordance with the documentation, exclusion criteria and technical roadmap. The quality of the literature was evaluated by the bias risk assessment tool in the Cochrane manual. Then RevMan 5.1 software was used to analyze the retrieved literature by Meta analysis. Results In this study, 10 domestic and foreign related reports were extracted, including 8 domestic documents and 2 foreign documents. In all of the literature, 925 patients were included, among which 415 cases were treated with general anesthesia, and 510 patients were treated with intraspinal anaesthesia. The results of heterogeneity test showed P = 0.42, I2 = 0. After fixed effect model analysis, it was found that the risk of postoperative cognitive dysfunction after general anesthesia for patients with lower limb fractures was significantly higher than that of patients with lower extremity fracture treated by spinal anesthesia (RR = 1.40, 95%CI: 1.04-1.88, P = 0.04). The results of the bias risk analysis was not found obvious bias. Conclusion The risk of cognitive impairment after general anesthesia in patients with lower extremity fractures is significantly higher than that in spinal canal anesthesia.

Key words： General anesthesia Intraspinal anesthesia Fractures of the lower extremities Postoperative cognitive impairment

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	LIU Bo LIU Jiangfeng HAO Hengrui YANG Fan LI Yongjin WANG Shuang TIAN Yanxun FENG Jin▲

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LIU Bo LIU Jiangfeng HAO Hengrui YANG Fan LI Yongjin WANG Shuang TIAN Yanxun FENG Jin▲. Meta analysis of incidence of cognitive impairment in patients after general anesthesia and intraspinal anesthesia for lower extremity fractures[J]. 中国医药导报, 2018, 15(11): 112-115.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I11/112

[1] 朱子夫.植入物内固定修复老年下肢骨折：不同麻醉方法对血流动力学及镇痛的影响[J].中国组织工程研究，2015，19（4）：596-600.
[2] 马宏恩.分层脊麻在老年下肢骨折手术中的应用[J].山东医药，2015，55（38）：105-106.
[3] 马宇，苏佳灿，陈建芳，等.区域神经阻滞技术在创伤胫腓骨骨折患者麻醉中的应用[J].第二军医大学学报，2016， 37（11）：1406-1409.
[4] Kertzman P，Császár NBM，Furia JP，et al. Radial extracorporeal shock wave therapy is efficient and safe in the treatment of fracture nonunions of superficial bones： a retrospective case series [J]. J Orthop Surg Res，2017，12（1）：164.
[5] 白雪东，王德利，李海峰，等.麻醉方式对高龄股骨粗隆间骨折患者术后恢复效果的影响[J].实用骨科杂志，2013， 19（1）：15-16.
[6] 郭敏，伍元川，姚爱军.全身麻醉和椎管内麻醉对老年股骨骨折患者术后肺功能影响[J].按摩与康复医学，2014， 5（7）：62-63.
[7] 朱红，李文兵，蔡云亮，等.不同麻醉方式对老年人下肢骨科手术后认知功能的影响[J].吉林医学，2015，36（10）：2048-2049.
[8] 贯玉春.全身麻醉与椎管内麻醉对高龄股骨粗隆间骨折患者术后恢复效果的影响[J].中国实用医药，2015，10（20）：180-181.
[9] 戴华英.椎管内麻醉与全身麻醉对高龄股骨粗隆间骨折患者术后恢复的影响比较[J].现代诊断与治疗，2015，11（24）：5614-5615.
[10] 鲍宏玮，严力生，陈红梅，等.麻醉选择对老年人髋部骨折术后谵妄的影响[J].中国骨与关节损伤杂志，2016， 31（4）：393-394.
[11] 胥荣民.全身麻醉与椎管内麻醉在老年股骨骨折手术中的应用效果比较[J].实用临床医学，2016，17（8）：27-28.
[12] 徐万军.椎管内麻醉与全身麻醉对高龄股骨粗隆间骨折患者术后恢复的影响[J].医疗装备，2017，30（5）：90-91.
[13] Ali S，Athar M，Ahmed SM，et al. A Randomized control trial of awake oral to submental conversion versus asleep technique in maxillofacial trauma [J]. Ann Maxillofac Surg，2017，7（2）：202-206.
[14] Capozzi A，Scambia G，Pedicelli A，et al. Clinical management of osteoporotic vertebral fracture treated with percutaneous vertebroplasty [J]. Clin Cases Miner Bone Metab，2017，14（2）：161-166.
[15] 罗辑，邓晓艳.不同麻醉方式对老年髋部骨折患者术后认知功能的影响[J].中华创伤杂志，2016，32（4）：327-328.
[16] 单新，张秀宁，李雪靖，等.乌司他丁预处理对老年髋部骨折患者术后认知功能的影响[J].中华医学杂志，2015， 95（20）：1586-1589.
[17] Kiwanuka E，Iyengar R，Jehle CC，et al. The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures [J]. J Oral Biol Craniofac Res，2017，7（3）：153-157.
[18] 赵亓，王超，张麟临，等.七氟醚与异丙酚不同配比静吸复合麻醉对老龄大鼠术后认知功能的影响[J].中华麻醉学杂志，2017，37（4）：104-105.
[19] 郭红利，张先杰，周裕凯，等.不同麻醉药物对老年骨科手术患者术后认知功能的影响及其机制[J].中国医院药学杂志，2017，37（7）：643-646.
[20] Suh YS，Chun DI，Choi SW，et al. Pathologic femoral fracture due to tenofovir-induced Fanconi syndrome in patient with chronic hepatitis B：a case report [J]. Medicine （Baltimore），2017，96（46）：8760.