良性前列腺增生患者术后谵妄因素分析及处理

J4 ›› 2010, Vol. 9 ›› Issue (2): 37-39.

良性前列腺增生患者术后谵妄因素分析及处理

大理学院临床医学院，云南大理 671000

收稿日期:2009-11-17 出版日期:2010-02-15 发布日期:2010-02-15
作者简介:杨立，助教，主要从事泌尿外科研究.

Factor Analysis and Management of Postoperative Delirium in Aged Patients with Benign Prostatic Hyperplasia

College Clinical medicine, Dali University, Dali, Yunnan, 671000, China

Received:2009-11-17 Online:2010-02-15 Published:2010-02-15

摘要/Abstract

摘要：

目的：探讨良性前列腺增生（BPH）患者术后谵妄的影响因素及其处理。方法：对照分析我科256例60~88岁BPH患者中发生谵妄症状27例的年龄、缺氧、术前感染、术后疼痛和性格内向等，判断BPH患者术后发生谵妄的因素并总结对症处理方案。结果：年龄大于75岁、缺氧、术前感染、术后疼痛和性格内向的患者中术后发生谵妄的机率显著上升（P<0.05）。所有患者经镇静、镇痛、改善术后体位和睡眠质量，预防感染，纠正电解质紊乱等对症治疗后均恢复。结论：年龄大于75岁、缺氧、术后疼痛和应激反应等是影响BPH患者手术后发生谵妄的重要因素，谵妄的发生重在预防，积极治疗。

关键词: 良性前列腺增生, 谵妄, 手术

Abstract:

Objective: To study the influential factors leading to postoperative delirium and the management of aged patients with
benign prostatic hyperplasia（BPH）. Method: For 256 postoperrative BPH patients in our department, the clinical parameters including age, hypoxemia, preoperative infection, postoperative pain, and introvert were investigated, and the management was summarized. Result: Of all the patients, 27 experienced postoperation delirium. Many factors were significantly correlated with the problem in delirium patients, such as advanced age （≧75）, hypoxemia, preoperative infection, postoperative pain, and introvert（P<0.05）. The patients were treated with the drugs for calm and analgesia, improving body position and sleep quality, preventing infection, correcting electrolyte disturbances and so on. Conclusion: Advanced age, hypoxemia, postoperative pain, and acute stress were important factors for delirium, and therefore preventative and active treatments are good for postoperative delirium in patients with BPH.

Key words: benign prostatic hyperplasia, postoperative delirium, surgery

中图分类号:

R697+.3

杨立, 肖玉坤, 杨银桂, 杨雪花. 良性前列腺增生患者术后谵妄因素分析及处理[J]. J4, 2010, 9(2): 37-39.

YANG Li, XIAO Yu-Kun, YANG Yin-Gui, YANG Xue-Hua. Factor Analysis and Management of Postoperative Delirium in Aged Patients with Benign Prostatic Hyperplasia[J]. J4, 2010, 9(2): 37-39.

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