老年患者术前健康状况与围手术期并发症发生的相关性研究

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.

Correlated study on preoperative health status and perioperative complication incidence of aged patients

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.