Abstract：Objective To investigate the incidence and risk factors of cognitive dysfunction in elderly patients after laparoscopic hysterectomy with different eysenck scores. Methods 198 cases of elderly patients undergoing laparoscopic hysterectomy were selected. Risk factors that may affect post operative cognitive dysfunction in patients with laparoscopic hysterectomy were analyzed. Results There were 45 patients with postoperative cognitive dysfunction(POCD) among 198 elderly patients undergoing laparoscopic hysterectomy, and the proportion was 22.7% and there were 153 patients who were not affected by POCD, and the proportion was 77.3%. There were significant differences between the two groups of non POCD group and POCD group in age, education, VAS score (postoperative 12h), operative time, blood loss, hypertension, cerebral infarction, diabetes, preoperative E score, preoperative N score and preoperative P score(P<0.05). The results of logistic regression analysis showed:the age ≥70years,VAS score (postoperative 12h) ≥3 points, hypertension, diabetes, preoperative E score ≥56.7 points and preoperative N grade score ≥56.7 point were the risk factors of POCD (OR>1, P<0.05). Conclusion Older age, postoperative pain, poor control of hypertension, diabetes, extrovert and neuroticism and of laparoscopic hysterectomy in elderly patients are more prone to postoperative cognitive dysfunction, which should attract our high attention.
田振, 刘伟, 汪小海, 戴体俊. 不同艾森克评分腹腔镜下子宫切除老年患者术后认知功能障碍发生情况[J]. 中国生育健康杂志, 2018, 29(3): 208-211.
TIAN Zhen, LIU Wei, WANG Xiaohai, DAI Tijun. Cognitive dysfunction among elderly patients after laparoscopic hysterectomy with different eysenck scores. Chinese Journal of Reproductive Health, 2018, 29(3): 208-211.
