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