[1]袁 博.脑氧饱和度与心血管术后认知功能与负面情绪的相关性分析[J].医学信息,2021,34(16):109-111.[doi:10.3969/j.issn.1006-1959.2021.16.029]
　YUAN Bo.Correlation Analysis of Cerebral Oxygen Saturation and Cognitive Function and Negative Emotions After Cardiovascular Surgery[J].Medical Information,2021,34(16):109-111.[doi:10.3969/j.issn.1006-1959.2021.16.029]
点击复制

脑氧饱和度与心血管术后认知功能与负面情绪的相关性分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年16期
页码:
109-111
栏目:
论著
出版日期:
2021-08-15

文章信息/Info

Title:
Correlation Analysis of Cerebral Oxygen Saturation and Cognitive Function and Negative Emotions After Cardiovascular Surgery
文章编号:
1006-1959（2021）16-0109-03
作者:
袁 博
（佳木斯市中心医院ICU，黑龙江 佳木斯 154002）
Author(s):
YUAN Bo
(ICU,the Central Hospital of Jiamusi City,Jiamusi 154002,Heilongjiang,China)
关键词:
脑氧饱和度; 认知功能; 负面情绪
Keywords:
Cerebral oxygen saturation; Cognitive function; Negative emotions
分类号:
R543
DOI:
10.3969/j.issn.1006-1959.2021.16.029
文献标志码:
A
摘要:
目的 探究脑氧饱和度（SctO2）与心血管患者术后认知功能和负面情绪出现的相关性。方法 选择2017年7月~2020年7月我院接受治疗的60例心血管手术患者为研究对象，将术中SctO2均值低于60%的患者设为研究组（n=29），其余设为对照组（n=31），采用围手术期的简易智力状态量表（MMSE）、焦虑自评量表（SAS）、抑郁自评量表（SDS）进行评分，分析SctO2与MMSE、SAS和SDS评分的相关性。结果 研究组术后1、4、8、12 h SctO2值均低于对照组，差异有统计学意义（P＜0.05）；研究组术后1、4、8、12 h SAS评分均高于对照组，SDS评分均高于对照组，差异有统计学意义（P＜0.05）；Spearman相关性分析显示，SctO2与MMSE评分呈正相关（r=0.8153，P＜0.05），与SAS和SDS评分均呈负相关（r=-0.9155、-0.8460，P＜0.05）。结论 心血管患者术中SctO2水平可作为该类患者术中监测的常规指标，避免低SctO2水平对于预防术后认知功能与负面情绪具有积极意义。
Abstract:
Objective To explore the correlation between cerebral oxygen saturation (SctO2) and the postoperative cognitive function and negative emotions in cardiovascular patients.Methods 60 patients undergoing cardiovascular surgery in our hospital from July 2017 to July 2020 were selected as the research objects.Patients with an intraoperative SctO2 average of less than 60% were set as the study group (n=29), and the rest were set as the control group (n=31).The perioperative Simple Intelligence State Scale (MMSE),Anxiety Self-Rating Scale (SAS), and Depression Self-Rating Scale (SDS) were used for scoring, and the correlation between SctO2 and MMSE, SAS and SDS scores was analyzed.Results The SctO2 valuesof the study group were lower than those of the control group at 1, 4, 8, and 12 h after operation,the difference was statistically significant (P<0.05);The SAS scores of the study group at 1, 4, 8, and 12 h after surgery were higher than those of the control group, and the SDS scores were higher than those of the control group,the difference was statistically significant (P<0.05);Spearman correlation analysis showed that SctO2 was positively correlated with the cognitive dysfunction score MMSE (r=0.8153, P＜0.05).There was a negative correlation with SAS and SDS scores (r=-0.9155, -0.8460, P＜0.05).Conclusion The level of SctO2 in cardiovascular patients can be used as a routine indicator for intraoperative monitoring of such patients. Avoiding low levels of SctO2 is of positive significance for preventing postoperative cognitive function and negative emotions.

参考文献/References:

[1]战美芹,冯星.新生大鼠脑组织缺血缺氧后表观遗传学基因的表达[J].江苏医药,2018,44(4):452-454. [2]王进,霍颖浩,万永占.促红细胞生成素结合高压氧对缺氧缺血性脑病患儿神经功能恢复和脑组织代谢的影响[J].中国药房,2017,28(17):2406-2409. [3]王柯威,颜艾.刺五加总黄酮对新生缺血缺氧性脑损伤大鼠脑组织保护作用的研究[J].中国临床药理学杂志,2020,36(6):624-627. [4]刘健欣,吴东妮,王冠华,等.麻醉深度对老年患者术后认知功能障碍发生的影响[J].中国老年保健医学,2020,18(4):56-58. [5]王恺知.静脉泵注右美托咪定对颅脑手术患者炎性因子、脑氧代谢及认知功能的影响[J].医学信息,2019,32(23):142-144. [6]洪汉林,苏亚玲,苏嵘,等.MoCA和MMSE量表串联用于轻度认知障碍患者的筛查[J].中国老年学杂志,2018,38(19):4815-4817. [7]朱文叶,李敏,罗壮,等.卡尔加里-剑桥指南联合LCSAS量表在医学生医患沟通技能培训中的应用[J].继续医学教育,2019,33(5):32-34. [8]吴一玲,吴琳,郑善尚.应用中文版老年抑郁量表分析金华市老年人抑郁现况[J].中国老年学杂志,2018,38(2):453-455. [9]黄思纳,欧斌,张剑彬.Stanford A型主动脉夹层术后重度低氧血症的危险因素分析[J].岭南心血管病杂志,2018,24(4):433-436. [10]陈思宇,邓肃,易春艳,等.老年冠心病患者经皮冠状动脉介入治疗术后焦虑抑郁对不良心血管事件发生率的影响[J].中华老年多器官疾病杂志,2017,16(5):370. [11]段振馨,陈芳,钟河江,等.术后认知功能障碍对心脏瓣膜置换手术患者康复的影响[J].第三军医大学学报,2019,41(11):1077-1082. [12]胡远,陈亮,何文胜.TURP术后老年患者认知功能变化和术中局部脑氧饱和度相关性研究[J].北华大学学报(自然科学版),2020,21(2):215-218.

相似文献/References:

[1]王 丹,谢婷婷,张 莉.七氟醚与丙泊酚静脉麻醉对老年髋关节置换术患者 认知功能的影响[J].医学信息,2018,31(09):133.[doi:10.3969/j.issn.1006-1959.2018.09.041]
　WANG Dan,XIE Ting-ting,ZHANG Li.Effects of Sevoflurane and Propofol Intravenous Anesthesia on Cognitive Function in Elderly Patients Undergoing Hip Replacement[J].Medical Information,2018,31(16):133.[doi:10.3969/j.issn.1006-1959.2018.09.041]
[2]胡金艳,王 冬.影响老年糖尿病患者发生认知障碍的危险因素分析[J].医学信息,2018,31(16):55.[doi:10.3969/j.issn.1006-1959.2018.16.015]
　HU Jin-yan,WANG Dong.Analysis of Risk Factors Affecting Cognitive Impairment in Elderly Diabetic Patients[J].Medical Information,2018,31(16):55.[doi:10.3969/j.issn.1006-1959.2018.16.015]
[3]包娜娜,刘 超.太极拳对遗忘型轻度认知功能障碍患者认知功能影响的研究[J].医学信息,2019,32(02):115.[doi:10.3969/j.issn.1006-1959.2019.02.032]
　BAO Na-na,LIU Chao.Study on Taijiquan in Patients with Amnestic Mild Cognitive Dysfunction[J].Medical Information,2019,32(16):115.[doi:10.3969/j.issn.1006-1959.2019.02.032]
[4]杨彩霞.慢性精神分裂症患者庇护性就业训练的疗效观察[J].医学信息,2019,32(06):120.[doi:10.3969/j.issn.1006-1959.2019.06.037]
　YANG Cai-xia.Therapeutic Effect of Sheltered Employment Training for Patients with Chronic Schizophrenia[J].Medical Information,2019,32(16):120.[doi:10.3969/j.issn.1006-1959.2019.06.037]
[5]曲艳津.益肾填精法对慢性脑供血不足患者脑动力学的影响[J].医学信息,2019,32(19):160.[doi:10.3969/j.issn.1006-1959.2019.19.053]
　QU Yan-jin.Effect of Yishen Filling Method on Brain Dynamics in Patients with Chronic Cerebral Insufficiency[J].Medical Information,2019,32(16):160.[doi:10.3969/j.issn.1006-1959.2019.19.053]
[6]冯 睿,刘光维.早期康复护理在提高脑梗死患者治疗效果及改善认知功能、 日常生活能力中的作用分析[J].医学信息,2019,32(14):186.[doi:10.3969/j.issn.1006-1959.2019.14.063]
　FENG Rui,LIU Guang-wei.Analysis of the Role of Early Rehabilitation Nursing in Improving the Therapeutic Effect and Improving Cognitive Function and Daily Living Ability of Patients with Cerebral Infarction[J].Medical Information,2019,32(16):186.[doi:10.3969/j.issn.1006-1959.2019.14.063]
[7]董淑欣,吴成吉,滕立志,等.中年无症状性脑梗死事件相关电位P300变化及其与 认知功能的相关性研究[J].医学信息,2019,32(16):105.[doi:10.3969/j.issn.1006-1959.2019.16.033]
　DONG Shu-xin,WU Cheng-ji,TENG Li-zhi,et al.Changes of Event-related Potential P300 in Middle-aged Patients with Asymptomatic Cerebral Infarction and Its Correlation with Cognitive Function[J].Medical Information,2019,32(16):105.[doi:10.3969/j.issn.1006-1959.2019.16.033]
[8]黄庆松,马爱玲,张 瑞,等.合并微出血对脑小血管闭塞性卒中患者认知功能的影响及其与P300的关系[J].医学信息,2019,32(22):66.[doi:10.3969/j.issn.1006-1959.2019.22.021]
　HUANG Qing-song,MA Ai-ling,ZHANG Rui,et al.Effect of Combined Microbleeds on Cognitive Function in Patients with Cerebral Small Vessel Occlusive Stroke and Its Relationship with P300[J].Medical Information,2019,32(16):66.[doi:10.3969/j.issn.1006-1959.2019.22.021]
[9]王恺知.静脉泵注右美托咪定对颅脑手术患者炎性因子、脑氧代谢及认知功能的影响[J].医学信息,2019,32(23):142.[doi:10.3969/j.issn.1006-1959.2019.23.043]
　WANG Kai-zhi.Effect of Intravenous Dexmedetomidine on Inflammatory Factors,Cerebral Oxygen Metabolism and Cognitive Function in Patients Undergoing Craniocerebral Operation[J].Medical Information,2019,32(16):142.[doi:10.3969/j.issn.1006-1959.2019.23.043]
[10]郭 青.全麻与腰硬联合麻醉对老年骨科手术患者认知功能及镇痛效果的影响[J].医学信息,2019,32(24):75.[doi:10.3969/j.issn.1006-1959.2019.24.024]
　GUO Qing.Effect of General Anesthesia Combined with Spinal Epidural Anesthesia on Cognitive Function and Analgesic Effect in Elderly Patients Undergoing Orthopedic Surgery[J].Medical Information,2019,32(16):75.[doi:10.3969/j.issn.1006-1959.2019.24.024]
[11]夏靖宇,杨贝贝,夏晓琼,等.瑞马唑仑联合星状神经节阻滞对老年咽鼓管球囊扩张术患者术后认知功能的影响[J].医学信息,2025,38(04):97.[doi:10.3969/j.issn.1006-1959.2025.04.016]
　XIA Jingyu,YANG Beibei,XIA Xiaoqiong,et al.Effect of Remimazolam Combined with Stellate Ganglion Block on Postoperative Cognitive Function in Elderly Patients Undergoing Balloon Eustachian Tuboplasty[J].Medical Information,2025,38(16):97.[doi:10.3969/j.issn.1006-1959.2025.04.016]

更新日期/Last Update: 1900-01-01