摘要
[目的]研究与老年骨科病人手术后不良结果相关的风险因素。[方法]对2002年1月～2004年10月期间住院的339例65岁以上老年病人进行回顾性分析,以潜在性手术风险因素作为变量,术后死亡及各种手术后并发症作为因变量。采用SPSS11.5进行统计分析。[结果]术后死亡率为3.5%,13.6%的住院病人术后出现1个以上的并发症。ASA评估Ⅲ级以上、心功能Ⅱ级以上、肾功能不全及神志状况的异常对术后死亡率有显著影响。心功能II级以上、心律失常、ASA评估Ⅲ级以上、术前饮食状况的异常和手术级别增加了术后并发症的发生率。[结论]尽管老年骨科患者手术后大部分恢复顺利,但仍有一定程度的并发症(13.6%)和术后死亡率(3.5%)。术前ASA评估Ⅲ级以上、心功能II级以上是影响术后结果的最主要因素。
[ Objective] To study those risk factors that are associated with adverse postoperative outcomes in old orthopaedic patients. [ Method ] In Xuanwu Hospital, medical records of 65 years or elder orthopaedic patients in -hospital from January 2002 to October 2004 were reviewed. Take the potential preoperative risk factors associated with adverse postoperative outcomes as vari- ates ,postoperative adverse outcomes as dependent variates. Data were analyzed with SPSS for Windows 11.5. [ Result] In the study,the postoperative mortality rate was 3.5%. 13.6% of these patients developed one or more complications. American Society of Anesthesiologists （ASA） classification, abnormal cardiac function, abnormal renal function and weak condition of conscious- ness are the most important risk factors of postoperative mortality, abnormal cardiac function, arrhythmia, ASA classification, poor eating status and operative degree increase the incidence of postoperative complication. [ Conclusion ] The study demonstrates that there are good postoperative outcomes in most of geriatric orthopaedic patients. But in some degree, there exist the postoperative morbidity （ 13.6% ） and mortality （3.5%）. Among operative risk factors,preoperative general status and functional status much influence the postoperative outcomes.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第6期425-427,共3页
Orthopedic Journal of China
关键词
风险因素
手术
老年
骨科
评估
Risk factors
Surgery
Geriatric
Orthopaedics
Assessment
