摘要
目的对行腹腔镜下子宫切除术的老年病人的相关病例资料进行回顾性分析,旨在明确其术后认知功能障碍(POCD)的发生率以及相关危险因素,为实施针对性的干预提供依据。方法选取行腹腔镜下子宫切除术的278例老年病人为研究对象,其中发生POCD病人58例为POCD组,未发生POCD的220例病人为非POCD组,对影响POCD的危险因素进行调查与分析。结果278例老年子宫切除病人POCD的发生率为20.86%。Logistic回归分析结果发现:年龄≥70岁、术中出血量≥150 ml、合并高血压及合并糖尿病是老年子宫切除病人发生POCD的危险因素,受教育年限≥5年、术后血红蛋白≥110 g/L及术后24 h VAS评分<3分是避免老年子宫切除病人POCD发生的保护性因素。结论影响腹腔镜下老年子宫切除病人POCD发生的因素较多,可以针对其相关危险因素采取干预措施,以降低腹腔镜下老年子宫切除病人POCD的发生率。
Objective To identify the risk factors of postoperative cognitive dysfunction（ POCD） in elderly patients undergoing laparoscopic hysterectomy. Methods 278 elderly patients undergoing laparoscopic hysterectomy were retrospectively selected. P atients with P OCD were enrolled into P OCD group, and the others without P OCD were divided into non-P OCD group.Logistic regression was used to investigate the risk factors of P OCD. Results Of the 278 patients undergoing hysterectomy,58 occurred P OCD,with an incidence rate of 20. 86 %. Logistic regression analysis indicated that age above 70 years,intraoperative blood loss ≥ 150 ml,hypertension and diabetes mellitus were risk factors of P OCD in elderly patients with hysterectomy,while the years of education≥5 years,postoperative hemoglobin ≥110 g/L and postoperative 24 hours VAS score 3points were protective factors of P OCD. Conclusions There were many factors that affect the development of P OCD in elderly patients undergoing hysterectomy. We can take action to intervene the related risk factors,and decrease the incidence rate of P OCD.
作者
郭庆艳
马俊峰
吕俊涛
李安民
GUO Qing-yan MA Jun-feng LV Jun-tao LI An-min.(Department of Anesthesia, Xi＇an Daxing Hospital, Xi＇an 710016, China)
出处
《实用老年医学》
CAS
2017年第10期956-958,共3页
Practical Geriatrics
