老年肿瘤患者术后精神障碍临床分析

目的探讨老年肿瘤患者术后精神障碍发生的原因和防治经验。方法回顾性分析186例60岁以上的肿瘤患者术后的临床资料。结果有症状组和无症状组在性别方面差异无统计学意义,但有症状组的手术时间(190·65±41·35)min明显长于无症状组(180·35±32·55)min(P<0·05);另外术前有无营养不良和心肺系统疾病,术后有无并发症及术后镇痛泵的使用与术后精神障碍的发生有明显的相关性。结论老年肿瘤患者术后精神障碍发生的原因是多方面的,通过手术前后有针对性的预防和治疗,一般预后良好。

Analysis of the causes in aged tumor patients with postoperative psychonosema

Objective To explore the cause,prevention and treatment of postoperative psychonosema(POP) in the aged tumor patients.Methods The clinical datas of 186 tumor patients over 60 years old after operation were analyzed retrospectively.Results There was no significance in age between POP patients and those without POP.The total operation time of the POP group were longer than that of the non-POP group(P<0.05).The pre-operative malnutrition and cardiorespiratory diseases history,the postoperative complications and the application of patient-controlled analgesia after operation were risk factors for POP.Conclusion The cause of POP in the aged tumor patients is multifactorial and the prognosis is good.