CAJ | 학술논문

目的探讨老年患者术前机体健康状况与围手术期并发症发生的相关性.方法对2006年1月至2007年11月接受手术治疗的3108例60岁及以上患者进行术前全身健康状况(9项指标,分3个等级)的综合评定,总结患者围手术期并发症及死亡的发生和分布情况.结果本组病例术前68.7%并存1种及以上疾病,41.1%并存2种及以上疾病,38.7%同时并存3种疾病,最多并存6种疾病;围手术期并发症的发生与术前患者健康状况及并存疾病情况有密切关系;本组围手术期并发症发生率21.4%(666/3108);有2.8%(88/3108)因心、脑、肺、肾衰竭死亡.结论老年手术患者术前机体健康状况和并存疾病情况与术后并发症发生、病死率有密切关系;心、脑、肺、肾功能状况,水、电解质代谢平衡和血糖变化对患者机体康复有显著影响.
목적 탐토노년환자술전궤체건강상황여위수술기병발증발생적상관성.방법 대2006년1월지2007년11월접수수술치료적3108례60세급이상환자진행술전전신건강상황(9항지표,분3개등급)적종합평정,총결환자위수술기병발증급사망적발생화분포정황.결과 본조병례술전68.7%병존1충급이상질병,41.1%병존2충급이상질병,38.7%동시병존3충질병,최다병존6충질병;위수술기병발증적발생여술전환자건강상황급병존질병정황유밀절관계;본조위수술기병발증발생솔21.4%(666/3108);유2.8%(88/3108)인심、뇌、폐、신쇠갈사망.결론 노년수술환자술전궤체건강상황화병존질병정황여술후병발증발생、병사솔유밀절관계;심、뇌、폐、신공능상황,수、전해질대사평형화혈당변화대환자궤체강복유현저영향.
Objective To explore the relativity of preoperative health status and perioperative com-plication incidence of aged patients. Methods The chnical data of 3108 old aged people (60 and above 60 years old)who were operated from January 2006 to November 2007 was retrospectively analysed. General e-valuated preoperative health status, and summarized perioperative complication incidence. Results Before operation, 68.7% patients had one or more coexist disease, 41.1% patients had two or more coexist dis-eases, 38.7% had three coexist diseases in the meantime. After operation,one or more complications oc-curred in 21.4% (666/3108)patients, 2.8% (88/3108) patients died because of heart,brain,lung, kidney function failure. Conclusions Aged patients have more coexist diseases, the complications and death rates are higher than those in younger patients. The complications are correlated with preoperative health status and coexist diseases. Some factors could influence the patients rehabilitation,such as heart,brain,lung, kidney function, water-electrolyte balance and blood glucose change.