老年人手术后精神障碍临床分析
精神障碍；,外科手术,；,老年人,【主题词】精神障碍；外科手术；老年人,1临床资料,2结果,3讨论,参考文献
【摘要】 目的 了解老年病人手术后精神障碍的发生率，探讨与之相关的影响因素。 方法 老年医学科重症监护室收治的208例老年手术患者，分为有精神障碍组和无精神障碍组，比较2组间年龄、基础疾病及术后用药差异。 结果 老年人术后精神障碍发生率约为12%，与年龄密切相关(P<001)。患者的基础疾病脑梗死是精神障碍发生的易发因素(P<005)，术后奥美拉唑、复合氨基酸的使用与精神障碍的发生有关(P<001和P<005)。 结论 老年人术后精神障碍的发生与年龄、基础疾病脑梗死、术后使用奥美拉唑、复合氨基酸有关。【主题词】 精神障碍； 外科手术 ； 老年人
Clinical analysis of postoperative mental disorders in the elderly
ZHOU Jing,ZHOU Suming.
Department of Geriatrics,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 China
【Abstract】 Objective To investigate the morbidity of postoperative mental disorders in elderly patients and the relevant influencing factors. Methods Two hundred and eight postoperative elderly patients admitted to geriatrical ICU,were divided into two groups:mental confusion group and nonmental confusion group,and the age,underlying diseases and postoperative administration were compared between the two groups. Resukts The incidence of mental confusion in postoperative elderly patients was 12%,which was correlated with age (P<001).The patients with cerebral infarction were susceptible to mental confusion(P<005),and the incidence of mental confusion was related of administration of omeprazole and compound aminoacid after operation(P<001 and P<005). Conckusions The incidence of mental confusion in postoperative elderly patients was correlative with age,cerebral infarction and administration of omeprazole and compound aminoacid. ......
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