CAJ | 학술논문

目的：探究老年人胆道再手术的围手术期相关处理措施。方法整群选取2010年12月-2014年12月在湖北省武汉市汉南区人民医院进行胆道再次手术的老年患者78例，随机分成两组，对照组与研究组各39例，对照组实施常规处理，研究组实施围手术期全面处理，比较两组的临床处理效果。结果经过精心围手术期处理后，研究组患者的治疗有效率为94.9%，并发症发生率为17.9%；对照组患者的治疗有效率为79.5%，并发症发生率为38.5%，两组比较，差异有统计学意义(P<0.05)。结论围手术期全面处理对于提高老年人胆道再次手术的成功率具有重要意义。
목적：탐구노년인담도재수술적위수술기상관처리조시。방법정군선취2010년12월-2014년12월재호북성무한시한남구인민의원진행담도재차수술적노년환자78례，수궤분성량조，대조조여연구조각39례，대조조실시상규처리，연구조실시위수술기전면처리，비교량조적림상처리효과。결과경과정심위수술기처리후，연구조환자적치료유효솔위94.9%，병발증발생솔위17.9%；대조조환자적치료유효솔위79.5%，병발증발생솔위38.5%，량조비교，차이유통계학의의(P<0.05)。결론위수술기전면처리대우제고노년인담도재차수술적성공솔구유중요의의。
Objective To study the perioperative management for elderly patients undergoing biliary tract reoperation. Methods 78 elderly patients undergoing biliary tract reoperation in our hospital during December 2010 and December 2014 were randomly di-vided into control group and study group with 39 in each. Routine treatment was conducted in the control group, while periopera-tive management was performed comprehensively in the study group. The clinical treatment effects of the two groups were com-pared. Results After careful perioperative management, in the study group, the effective rate of the patients was 94.9%, and the complication rate was 17.9%; while those in the control groups were 79.5% and 38.5% respectively. The differences between the two groups were statistically significant (P<0.05). Conclusion The perioperative management for elderly patients undergoing biliary tract reoperation can significantly improve the success rate.