老年患者胆囊切除术后的术后妄:一项回顾性研究
Young Mok Park1, Hyung Il Seo1, Byeong Gwan Noh1
1Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Annals of hepato-biliary-pancreatic surgery
|June 19, 2023
概括
胆囊切除术后老年人的术后妄与较低的BMI,神经精神病史,高血症和较长的手术有关. 识别这些风险因素是预防和治疗策略的关键.
科学领域:
- 老年医学 老年医学
- 手术并发症 手术并发症
- 神经科学是一个神经科学.
背景情况:
- 手术后痴呆症 (POD) 是接受手术的老年患者经常出现的并发症.
- 在老年人群中,POD显著增加死亡率和发病率.
- 胆囊切除术是老年人常见的一种手术手术.
研究的目的:
- 为了研究经胆囊切除术后75岁以上患者手术后痴呆症的临床意义和危险因素.
- 为了确定与POD相关的特定患者特征和术后因素,在这个人口群体中.
主要方法:
- 对201名75岁以上的胆囊切除术患者进行了回顾性研究.
- 患者被分为术后狂妄症 (POD) 和非POD组.
- 人口统计数据和临床结果在使用单变量和多变量分析的组之间进行了比较.
主要成果:
- 多变量分析确定了较低的体重指数 (BMI),神经精神疾病史,高胆血症和较长的手术时间作为POD的显著风险因素.
- 单变量分析揭示了与固定住院状态,手术前干预,C反应蛋白升高,低albuminemia和中性恋的额外关联.
- 与非POD组 (n=180) 相比,POD组 (n=21) 显示出不同的特征.
结论:
- 在这个队列中,术后妄与炎症,一般健康状况,营养缺陷,电解质障碍和手术压力有关.
- 认识这些风险因素对于制定有效的预防和管理策略至关重要.
- 建议采用多学科的团队方法来治疗老年手术患者的POD.
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