吉林医学2024,Vol.45Issue(9) :2050-2053.DOI:10.3969/j.issn.1004-0412.2024.09.006

脑血肿清除术老年患者术前衰弱与术后并发症的相关性

Correlation between preoperative weakness and postoperative complications in elderly patients undergoing evacuation of intracerebral hematoma

杜宁 解立杰 张全意 林峰 静广建 于飞 孙敏
吉林医学2024,Vol.45Issue(9) :2050-2053.DOI:10.3969/j.issn.1004-0412.2024.09.006

脑血肿清除术老年患者术前衰弱与术后并发症的相关性

Correlation between preoperative weakness and postoperative complications in elderly patients undergoing evacuation of intracerebral hematoma

杜宁 1解立杰 1张全意 1林峰 1静广建 1于飞 1孙敏1
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作者信息

  • 1. 滨州医学院附属医院麻醉科,山东 滨州 256600
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摘要

目的:脑血肿清除术老年患者术前衰弱与术后并发症的相关性.方法:选取 2018 年 1 月~2022 年 12 月滨州医学院附属医院行脑血肿清除术的老年患者 100 例为研究对象,收集患者基本信息、临床检查等资料,评估患者的术前衰弱情况,采用改良衰弱指数(mFI)将患者分为衰弱组(n=32)与非衰弱组(n=68).对患者术后的并发症、入住ICU率、术后 1 年死亡率进行记录、比较.对影响术后并发症的相关危险因素,通过单因素、多因素进行分析.结果:术后 56 例(56.00%)患者存在术后并发症.单因素与多因素分析提示,影响老年脑出血患者术后并发症的危险因素是衰弱.结论:衰弱是脑血肿清除术术后并发症的独立危险因素,围术期做好衰弱患者的干预可能降低脑血肿清除患者术后并发症.

Abstract

Objective To investigate the correlation between preoperative weakness and postoperative complications in elderly pa-tients undergoing brain hematoma evacuation.Method 100 elderly patients were included and underwent brain hematoma removal sur-gery at the Affiliated Hospital of Binzhou Medical College from January 2018 to December 2022.Collect basic information and clinical examination data of patients,evaluate their preoperative frailty,and use the modified frailty index(mFI)to divide patients into frailty group(32 cases)and non frailty group(68 cases).Record and compare the postoperative complications,ICU admission rate,and 1-year mortality rate of patients.Analyze the relevant risk factors that affect postoperative complications through single factor and multi factor analysis.Results 56 patients(56.00%)had postoperative complications.Univariate and multivariate analyses suggest that frailty was a risk factor for postoperative complications in elderly patients with cerebral hemorrhage.Conclusion Weakness is an inde-pendent risk factor for postoperative complications in patients undergoing brain hematoma removal surgery.Proper perioperative inter-vention for frail patients may reduce postoperative complications in patients undergoing brain hematoma removal surgery.

关键词

衰弱/脑血肿清除/术后并发症

Key words

Weak/Removal of cerebral hematoma/Postoperative complications

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基金项目

国家自然科学基金青年科学基金资助项目(81900269)

滨州医学院"临床+X"项目(BY2021LCX28)

山东省省级临床重点专科学科建设项目(SLCZDZK-20)

出版年

2024
吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
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