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目的探讨老年腹部手术患者围手术期的中西医结合处理。方法回顾性分析128例70岁以上老年腹部手术(急诊手术除外)患者围手术期临床资料。结果112例术前有重要脏器病变,主要是:心血管疾病84例,慢性阻塞性肺疾病30例,糖尿病42例,脑中风后12例。术后主要并发症为:心血管系统24例,呼吸系统38例,吻合口瘘1例,伤口或腹腔感染3例。结论老年人腹部手术的主要危险因素是心血管系统疾病、慢性阻塞性肺病、糖尿病等。对老年患者术前应全面评估和中西医结合准备,术后加强监测和支持;根据中医辨证分型作相应处理,可以取得良好效果。
Objective To investigate the perioperative management of elderly patients with abdominal surgery in Integrative Medicine. Methods Retrospective analysis of perioperative clinical data of 128 patients aged over 70 years with abdominal surgery (except emergency surgery). Results 112 cases of important organ diseases before surgery, mainly: 84 cases of cardiovascular disease, chronic obstructive pulmonary disease in 30 cases, 42 cases of diabetes, 12 cases of stroke. The main complications were: cardiovascular system in 24 cases, respiratory system in 38 cases, anastomotic fistula in 1 case, wound or abdominal infection in 3 cases. Conclusions The main risk factors for abdominal surgery in the elderly are cardiovascular diseases, chronic obstructive pulmonary disease and diabetes. Elderly patients should be fully evaluated before surgery and the preparation of integrated traditional Chinese and Western medicine, postoperative monitoring and support to strengthen; according to TCM syndromes for the corresponding treatment, you can achieve good results.