良性前列腺增生患者腔内手术后谵妄发生的临床分析

目的 预防良性前列腺增生(BPH)患者腔内手术后谵妄的发生. 方法 总结我院接受腔内手术治疗的370例BPH患者的临床资料,分析患者年龄、并存疾病、手术方法、手术时间以及术后疼痛等因素对谵妄产生的影响. 结果 370例患者术后共发生谵妄19例,发生率5.1%.单因素分析显示,患者年龄(χ~2=7.37,P<0.05)、并存疾病(χ~2=10.26,P<0.05)、手术时间(χ~2=19.87,P<0.05)以及术后疼痛(χ~2=4.99,P<0.05)这4个因素与谵妄发生有关;多因素Logistic回归分析显示患者年龄(OR=5.38,P<0.05)、并存疾病(OR=4.97,P<0.05)、手术时间(OR=6.52,P<0.05)是谵妄发生的重要影响因素. 结论 对BPH高龄患者应特别注意改善其全身情况,做好充分的术前准备,缩短手术时间等对预防术后谵妄有积极意义.

Clinical analysis of postoperative delirium after endoscopic surgery in patients with benign prostatic hyperplasia

Objective To prevent the occurrence of postoperative delirium after endoscopic surgery in patients with benign prostatic hyperplasia (BPH). Methods A total of 370 BPH patients receiving endoscopic surgery in our hospital were involved in this study. The clinical parameters including age, other systemic diseases, operation method, operation time and postoperative pain were investigated as predictive risk factors. Then the data were dealt by χ~2 test, single factor analysis or multivariate logistic regression analysis. Results Postoperative delirium occurred in 19 cases (5. 1%). Univariate analysis demonstrated that many factors were significantly correlated with the postoperative delirium in elderly patients, such as age (χ~2 = 7. 37, P<0. 05), other systemic diseases (χ~2=10.26, P<0.05), operation time (χ~2 = 19. 87, P<0.05) and postoperative pain (χ~2= 4.99, P<0. 05). The multivariate logistic regression analysis showed that age (OR = 5. 38, P< 0.05), other systemic diseases (OR = 4. 97, P<0. 05) and operation time (OR = 6. 53, P<0. 05) were important factors for postoperative delirium. Conclusions Paying more attention to the advanced age, giving sufficient preoperative preparation and reducing operation time may help to prevent postoperative delirium.