前列腺增生术后精神障碍的相关因素分析  

Related factors for postoperative delirium after prostate surgery

作　　者：林圩[1] 杨镒魟[1] 梁勇[1] 曾翔[1] 

机构地区：[1]四川省自贡市第四人民医院泌尿外科,643000

出　　处：《检验医学与临床》2012年第24期3102-3103,3105,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨老年人前列腺手术后精神障碍发生的影响因素和相应的防治对策。方法对225例行前列腺手术老年患者的年龄、手术时间、前列腺大小、麻醉方式、是否使用喹诺酮药物和手术方式进行单因素分析。结果 225例患者术后精神障碍发生率为10.6%,术后精神障碍发生与年龄、手术时间、是否使用喹诺酮药物有关,而与麻醉方式、前列腺大小及手术方式无关。结论术前术后合理用药,避免使用可能导致精神障碍的药物,加强围手术期管理,术后尽量消除促使术后精神障碍发生的各种因素,有助于减少术后精神障碍的发生。Objective To study the risk factors of mental disorders in the elderly prostate surgery and the corresponding countermeasures. Methods 225 elderly patients were analyzed about routine prostate surgery, age, operative time,prostate size,anesthesia, whether the use of quinolone drugs and surgical approach with single factor. Results The incidence rate of postoperative mental disorders was 10.6%（24/225） ,it related with age,operation time, whether the use of quinolone drugs, but not with anesthesia,independent of prostate size and surgical approach. Conclusion Rational drug use before and after surgery,avoiding the use of drugs may lead to mental disorders,perioperative management,postoperative patients as possible to eliminate mental disorders prompted a variety of factors can help to reduce the incidence of postoperative mental disorders.

关 键 词：精神障碍 前列腺增生 术后并发症 

分 类 号：R749.2[医药卫生—神经病学与精神病学]