老年良性前列腺增生患者电切术后谵妄的诊治体会  

The diagnosis and treatment of postoperative delirium in benign prostatic hyperplasia patients receiving transurethral resection of the prostate

作　　者：苏宇[1] 周兴[1] 陈志光[1] 邓振农[1] 

机构地区：[1]广州医学院第二附属医院泌尿外科,510260

出　　处：《实用医学杂志》2011年第13期2388-2390,共3页The Journal of Practical Medicine

摘　　要：目的:探讨老年良性前列腺增生(BPH)患者行经尿道前列腺电切术(TURP)后出现谵妄的危险因素和处理方法。方法:总结我院769例BPH患者行TURP术的临床资料,结合文献分析TURP术后发生谵妄的危险因素和诊治方法。结果:769例患者TURP术后出现谵妄10例,均为60岁以上患者,其中60～70岁3例,70～80岁5例,80岁以上2例,发生率分别为0.76%、1.90%和7.14%。1例伴有睡眠障碍的轻症患者给予安定肌注治愈,其余9例给予氟哌啶醇5mg肌肉注射,谵妄症状分别在用药后8～24h明显缓解或消失。结论:高龄是TURP术后发生谵妄的重要危险因素,随着年龄的增长,TURP术后谵妄发生率升高,老年BPH患者TURP术后谵妄药物治疗首选氟哌啶醇。Objective To investigate the risk factors and the treatment of postoperative delirium in benign prostatic hyperplasia （BPH） patients receiving transurethral resection of the prostate （TURP）. Methods The clinical data of 769 BPH patients who received TURP were summarized, and was combined with literatures to analyze the risk factors and the treatment of postoperative delirium. Results There were 10 patients with postoperative delirium after TURP, all were more than 60 years old, of whom 3 patients were 60 to 70 years old, 5 were 70 to 80, and 2 were more than 80, and the incidence were respectively 0.76%, 1.90%, and 7.14%. One patient had slightly sleep-disorder, and was cured by injecting diazepam. The other 9 patients were given 5 mg of haloperidol by intramuscular injection, and delirium remitted or disappeared within 8 to 24 hours. Conclusion Old age was one of the most important risk factors leading to postoperative delirium after TURP. The incidence of postoperative delirium is related with age and haloperidol is the first choice to cure it.

关 键 词：前列腺增生 经尿道前列腺电切术 谵妄 老年人 

分 类 号：R699[医药卫生—泌尿科学]