电针刺激辅助神经阻滞在改善肩袖修补术后患者认知功能的相关研究

Study of Electroacupuncture Assisted Nerve Block in Improving Cognitive Function of Pa-tients after Rotator Cuff Repair

摘要: 目的：探究肩袖修补术中采用电针刺激辅助神经阻滞在患者认知功能障碍的相关影响因素分析，以期为临床上肩袖损伤患者改善术后认知功能提供思路和方法。方法：本研究为回顾性病例对照研究，以自2017年1月至2022年1月收入我院骨伤科的89例符合条件的肩袖损伤患者为研究对象，统计并记录患者的一般基准资料，比如性别，年龄，文化程度，既往高血压病史，糖尿病病史，冠心病病史和关实验室指标，包括血沉，CRP，红细胞含量和白蛋白含量等，以术后即刻的简易智力状态检查量表(MMSE)评分为依据，进行单因素分析，并且将单因素分析中有统计学意义的因素作为自变量，赋值后进行多元线性回归分析。以P < 0.05为差异有统计学意义。结果：单因素分析结果显示，年龄，文化程度，血沉(ESR)，CRP，糖尿病病史，肩袖损伤分型，手术时间和缝合铆钉数量是影响患者术后认知功能障碍的相关因素。以年龄，文化程度，血沉(ESR)，CRP，糖尿病病史，肩袖损伤分型，手术时间和缝合铆钉数量为自变量，MMSE评分为因变量进行多因素分析。结果显示，文化程度，血沉，CRP，糖尿病病史，肩袖损伤分型，手术时间，缝合铆钉数量是影响患者术后认知功能障碍的相关因素。结论：文化程度，血沉，CRP，糖尿病病史，肩袖损伤分型，手术时间，缝合铆钉数量是影响患者术后认知功能障碍的相关因素。

Abstract: Objective: To explore the influencing factors of electroacupuncture assisted nerve block in patients with cognitive impairment during rotator cuff repair, in order to provide ideas and methods for improving postoperative cognitive function in patients with rotator cuff injury. Methods: A retrospective case-control study was conducted on 89 patients with rotator cuff injury who received orthopedic injuries from January 2017 to January 2022. The general data of patients were collected and recorded, such as gender, age, education level, history of hypertension, diabetes history, coronary heart disease history and laboratory indicators, including erythrocyte sedimentation rate, CRP, erythrocyte content and albumin content. Based on the score of MMSE immediately after operation, univariate analysis was carried out, and the statistically significant factors in univariate analysis were taken as independent variables, and multiple linear regression analysis was carried out after assignment. The difference was statistically significant (P < 0.05). Results: The univariate analysis showed that age, education level, ESR, CRP, diabetes history, rotator cuff injury classification, operative time and number of suture rivets were related factors of postoperative cognitive dysfunction. Age, education level, ESR, CRP, diabetes history, rotator cuff injury classification, operative time and suture rivet quantity were independent variables, and MMSE scores were multivariate analysis. The results showed that education level, erythrocyte sedimentation rate, CRP, diabetes history, rotator cuff injury classification, operative time and suture rivet quantity were related factors of postoperative cognitive dysfunction. Conclusion: The education level, erythrocyte sedimentation rate, CRP, diabetes history, rotator cuff injury classification, operative time and suture rivet quantity are related factors of postoperative cognitive dysfunction.