Analysis of risk factors and treatment of postoperative delirium in patients with benign prostatic hyperplasia
10.3760/cma.j.issn.0254-9026.2009.02.038
- VernacularTitle:良性前列腺增生患者术后谵妄因素分析及处理
- Author:
Xiao GUO
;
Huiping CHENG
;
Xin CHEN
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Delirium;
Surgery
- From:
Chinese Journal of Geriatrics
2009;28(2):122-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors and treatment of postoperative delirium in patients with benign prostatic hyperplasia(BPH). Methods For 256 postoperrative BPH patients in our department,the clinical parameters including age,hypoxemia,preoperative infection,postoperative pain,and introvert were analyzed,and the treatment were summarized. Results The incidence of postoperative delirium was higher in patients aged≥75 years than＜75 years[17.4%(19/109)vs.5.4%(8/147),X2=8.307,P=0.0043,higher in patients with preoperative infection (pulmonary or urinary)versus without the infection[15.0%(17/113)vs.7.0%(10/143),X2=4.337,P=0.037],higher in patients with hypoxia versus without hipoxia[16.5%(16/97).vs.6.9%(111159),X2=4.885,P=0.027]and higher in patients with post-operative pain versus without the pain(16.9%(10/59)vs.1.2%(1/85),X2=10.146,P=0.0014].Hematocrit and hemoglobin in patients with postoperative delirium were lower after operation versus pre-operation[(0.29±0.04)vs.(0.42±0.04),t=12.2314,P＜0.001;(102.39±6.58)g/L vs.(114.58±8.36)g/L,t=5.9537,P＜0.001].All delirium patients were recovered after sedation treatment,improving the quality of sleep,controlling the infection and correcting electrolyte turbulence. Conclusions Advanced age,hypoxemia,preoperative infection,postoperative pain are important risk factors for delirium.
