帕金森病对外科手术患者围手术期的影响

Effect of Parkinson's disease on surgical operation patients in the perioperative period

目的观察帕金森病（PD）对外科手术患者围手术期的影响。方法从北京军区总医院病案室选取2002年3月-2012年10月的病例资料,筛选出来自血管外科、创伤科、普外科合并PD（观察组）及相应科室不伴PD的患者（对照组）各48例,回顾性比较两组术后并发症（跌倒、尿路感染、肺炎）、治疗时间（术前、术后、ICU及住院）和手术康复情况。结果观察组术后跌倒10例、手术康复26例,对照组分别为2、35例,P均〈0.05;两组其他指标比较,P均〉0.05。观察组中来自创伤科的患者术后跌倒7例、手术康复5例、术后治疗时间为（18.5±5.7）d、住院时间（17.1±6.9）d,对照组分别为1、12例及（13.1±5.3）、（15.7±5.1）d,P均〈0.05;两组同科室其他指标比较,P均〉0.05。结论 PD可影响外科手术患者的术后并发症及康复出院,尤其是在创伤科。

Objective To investigate the effect of Parkinson＇s disease（PD） on surgical operation patients in the perioperative period. Methods The cases were selected from the date of record room in a total of 10 years. 48 patients with PD from department of vascular surgery,department of traumatology,department of general surgery,and 48 patients from the respective departments without PD were retrospectively compared,including the complications,treatment time and the rate of recovery. Results Postoperative complications associated with fall in patients with PD was more common than that in patients without PD（P〈0. 05）; the rehabilitation rate in patients with PD was lower than that in patients without PD（P〈0.05）. Combined to PD patients with trauma,the incidence of postoperative fall,hospitalization time,the rehabilitation rate were significantly longer than those in patients without PD patients（all P〈0. 05）. Conclusion PD may influence the perioperative rehabilitation and complications in surgical operation patients,especially in the department of traumatology.