[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]
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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()
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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.

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更新日期/Last Update: 1900-01-01