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老年妇科手术患者的临床特点及处理探讨

The Clinical Features and Treatment Method about Elderly Patients with Gynecological Surgery

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【作者】 黄仰任; 杨保珍; 邹岚; 林亮初; 李慧敏;

【Author】 HUANG Yang-ren,YANG Bao-zhen,ZOU Lan,LIN Liang-chu,LI Hui-min(Tai Shan People’s Hospital,Obstetrics and Gynecology,Taishan Guangdong,529200,China)

【机构】 广东省台山市人民医院妇产科;

【摘要】 目的:分析老年妇科手术患者的临床特点并探讨相应的处理方法。方法:选择55例老年妇科手术患者(年龄>60岁)及同期60例非老年妇科手术患者(年龄<50岁),比较两组患者病变性质、术前情况及术后情况,根据分析结果,探讨相应的处理方法。结果:老年组患者恶性肿瘤发生率显著多于非老年组患者(P<0.01);老年组患者术前伴有基础性病变病例显著多于非老年组患者(P<0.01,P<0.05);老年组患者术后出现并发症的例数显著多于非老年组患者(P<0.05)。结论:对于老年妇科手术患者术前应加强检查,完善手术方案;积极控制老年患者的基础性病变,提高对手术及麻醉的耐受能力;术后给予减少并发症的措施,加强针对性护理,可有效减少老年妇科手术患者围手术死亡率。

【Abstract】 Objective:To analyze the clinical features of elderly patients with gynecologic surgery and explore the the treatment.Method:Collectig 55 elderly patients with gynecologic surgery(>60 years) and 60 non-elderly patients with gynecologic surgery(<50 years),comparing the nature of lesions,preoperative and postoperative situation and explore the the treatment.Result:There was a statistical significant(P<0.01,P<0.05) in the nature of lesions,preoperative and postoperative situation,the elderly patients were more than the non-elderly patients.Conclusion:It should strengthen the preoperative inspection and improve the surgical plan for the elderly patients with gynecologic surgery;actively controlling the basic disease to improve the tolerance of surgery and anesthesia;giving the postoperative measures to reduce the complications and strengthening the targeted nursing.It could effectively reduce the perioperative mortality of elderly patients with gynecological surgery.

【关键词】 老年; 妇科手术; 临床特点; 处理方法;
【Key words】 Elderly; Gynecological surgery; Clinical features; Approach;
  • 【文献出处】 现代生物医学进展 ,Progress in Modern Biomedicine , 编辑部邮箱 ,2012年22期
  • 【分类号】R713
  • 【被引频次】6
  • 【下载频次】31
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