| 良性前列腺增生患者术后谵妄的临床分析 |
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| 引用本文： | 陈志勇,陈映鹤,竺海波,杨世坤. 良性前列腺增生患者术后谵妄的临床分析[J]. 中华男科学杂志, 2007, 13(5): 411-413 |
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| 作者姓名： | 陈志勇 陈映鹤 竺海波 杨世坤 |
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| 作者单位： | 温州医学院附属第二医院泌尿外科,浙江,温州,325027 |
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| 摘 要： | 目的:探讨良性前列腺增生(BPH)患者术后发生谵妄的影响因素。方法:分析我院198例60～83岁BPH手术患者的年龄与术后疼痛、低氧血症和睡眠时间减少发生的关系,判定患者术后发生谵妄的危险因素。结果:198例患者术后发生谵妄13例(6.5%),≥70岁的患者与<70岁患者相比,术后谵妄发生率增加(1.6%vs14%,P<0.05)。结论:高龄患者前列腺术后疼痛和睡眠障碍是发生谵妄的重要原因,镇痛及良好的睡眠对预防术后谵妄有积极的意义。
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| 关 键 词： | 良性前列腺增生 谵妄 前列腺手术 老年 |
| 文章编号： | 1009-3591（2007）05-0411-03 |
| 收稿时间： | 2006-05-10 |
| 修稿时间： | 2006-05-102006-08-20 |
Clinical Analysis of Postoperative Delirium in Elderly Patients with Benign Prostatic Hyperplasia |
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| CHEN Zhi-yong,CHEN Ying-he,ZHU Hai-bo,YANG Shi-kun. Clinical Analysis of Postoperative Delirium in Elderly Patients with Benign Prostatic Hyperplasia[J]. National journal of andrology, 2007, 13(5): 411-413 |
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| Authors: | CHEN Zhi-yong CHEN Ying-he ZHU Hai-bo YANG Shi-kun |
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| Affiliation: | Department of Urology, the Second Affiliated Hospital, Wenzhou Medical College, Wenzhou, Zhejiang 325027, China |
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| Abstract: | OBJECTIVE: To study the influential factors leading to postoperative delirium in elderly patients with benign prostatic hyperplasia(BPH). METHODS: For 198 elderly postoperative BPH patients in our hospital, the clinical parameters including age, hypoxemia, postoperative pain, and sleep reduction were investigated, and the data were processed by chi2 test. RESULTS: Of the total number of patients, 13 (6.5%) experienced postoperation delirium. Many factors were significantly correlated with the problem in these elderly BPH patients, such as advanced age (> or =70), postoperative pain and sleep reduction (P < 0.05). CONCLUSION: Advanced age, postoperative pain and sleep problem were important factors for delirium, and therefore postoperative analgesia and good sleep may help to prevent postoperative delirium. |
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| Keywords: | benign prostatic hyperplasia postoperative delirium prostate operation the elderly |
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