Correlation between cognitive function and pain scores on visual analogue scale in elderly patients after open abdominal  operation

李丽萍; 黄炳强; 刘宿; 葛衡江

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Correlation between cognitive function and pain scores on visual analogue scale in elderly patients after open abdominal operation

更新时间：2026-01-09

- Correlation between cognitive function and pain scores on visual analogue scale in elderly patients after open abdominal operation
- Journal of Army Medical University Vol. 32, Issue 11, Pages: 1226-1228(2010)
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  CLC： R614;R619;R749
- Published：2010
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李丽萍,黄炳强,刘宿,葛衡江.老年患者术后认知功能评价与疼痛视觉模拟评分的相关性研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(11):1226-1228.

　Li Liping,Huang Bingqiang,Liu Su,Ge Hengjiang.Correlation between cognitive function and pain scores on visual analogue scale in elderly patients after open abdominal operation[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(11):1226-1228.
李丽萍,黄炳强,刘宿,葛衡江.老年患者术后认知功能评价与疼痛视觉模拟评分的相关性研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(11):1226-1228. DOI：

　Li Liping,Huang Bingqiang,Liu Su,Ge Hengjiang.Correlation between cognitive function and pain scores on visual analogue scale in elderly patients after open abdominal operation[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(11):1226-1228. DOI：

摘要

目的研究术后疼痛分级与老年患者术后早期认知功能变化的相关性。方法选择2009年1-6月本科接受腹腔择期开放性手术的住院老年患者30例，术后24、48 h采用疼痛视觉模拟评分法(visual analogue scale

VAS)评估疼痛程度，并同时采用MMSE量表、AFT量表、CDT量表对术后认知功能进行评分。从神经心理学的角度对老年患者术后的认知功能进行评价，并结合疼痛视觉模拟评分对术后疼痛进行量化评分，变量分析采用线性相关分析，观察术后疼痛分级与老年患者术后早期认知功能变化的相关性。结果 MMSE量表术后24、48 h与VAS评分无线性相关（r=-0.053，P=0.786;r=-0.052

P=0.783）；AFT量表术后24、48 h与VAS评分无线性相关（r=-0.323，P=0.082;r=-0.038

P=0.841）；CDT量表术后24 h、48 h与VAS评分有负线性相关（r=-0.731，P=0.000;r=-0.636

P=0.001）。结论术后认知功能在视空间结构功能及执行功能方面与VAS评分有相关性。

Abstract

Objective To study the correlation between early cognitive function and severity of pain in elderly patients after operation. Methods Selective open abdominal operation was performed in 30 elderly patients admitted to our department from January 2009 to June 2009. Severity of pain was assessed using visual analogue scale (VAS) and cognitive function was scored with MiniMental State Examination (MMSE)

animal fluency test (AFT) and clock drawing test (CDT)

respectively

in 24 and 48 h after operation. Cognitive function of the patients was assessed from the view of neurophysiology. Pain was scored after operation with VAS. Variables were analyzed with the linear correlation analysis. Correltion between early cognitive function and severity of pain in elderly patients was observed after operation. Results No linear correlation was observed between scores on MMSE

VAS and AFT scales in 24 and 48 h after operation (r=-0.053

P=0.786; and r=-0.052

P=0.783; and r=-0.323

P=0.082; and r=-0.038

P=0.841). A negative linear correlation was found between scores on CDT and VAS scales in 24 and 48 h after operation (r=-0.731

P=0.000; and r=-0.636

P=0.001). Conclusion Cognitive function including visual space structure function and implementing function in elderly patients after operation is correlated with the pain scores on VAS scale.

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