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目的探讨腹部微创手术对老年人术后谵妄的影响。方法择期非心脏手术直肠癌患者共165例,其中微创手术104例,开放手术61例,术前访视患者,术后密切随访患者,记录患者一般情况、合并症、手术时间、术中失血量、术后疼痛评分及谵妄情况。结果 165例患者23例发生谵妄,发生率为13.9%,其中微创手术组15例,开放手术组8例,术中失血对谵妄发生率差异有统计学意义(P<0.05),性别、年龄、手术类别、手术时间、术后疼痛及术前血氧饱和度对谵妄发生率差异无统计学意义(P>0.05)。结论腹部微创手术不增加老年患者术后谵妄发生率。
Objective To investigate the effect of abdominal minimally invasive surgery on postoperative delirium in the elderly. Methods A total of 165 patients with rectal cancer undergoing elective noncardiac surgery were enrolled in this study. Among them, 104 patients underwent minimally invasive surgery and 61 patients underwent open surgery. Patients were followed up preoperatively and closely followed up. The general condition, comorbidities, operation time, blood loss Volume, postoperative pain score and delirium. Results The incidence of delirium in 23 of 165 patients was 13.9%. There were 15 cases in minimally invasive surgery group and 8 cases in open surgery group. There was significant difference in the incidence of delirium between the two groups (P <0.05), sex, age There was no significant difference in the incidence of delirium between operation type, operation time, postoperative pain and preoperative oxygen saturation (P> 0.05). Conclusion Abdominal minimally invasive surgery does not increase the incidence of postoperative delirium in elderly patients.