老年人胆道再手术的围手术期处理研究

Study on Perioperative Management for Elderly Patients Undergoing Biliary Tract Reoperation

目的探究老年人胆道再手术的围手术期相关处理措施。方法整群选取2010年12月—2014年12月在湖北省武汉市汉南区人民医院进行胆道再次手术的老年患者78例,随机分成两组,对照组与研究组各39例,对照组实施常规处理,研究组实施围手术期全面处理,比较两组的临床处理效果。结果经过精心围手术期处理后,研究组患者的治疗有效率为94.9%,并发症发生率为17.9%;对照组患者的治疗有效率为79.5%,并发症发生率为38.5%,两组比较,差异有统计学意义(P<0.05)。结论围手术期全面处理对于提高老年人胆道再次手术的成功率具有重要意义。

Objective To study the perioperative management for elderly patients undergoing biliary tract reoperation. Methods 78 elderly patients undergoing biliary tract reoperation in our hospital during December 2010 and December 2014 were randomly divided into control group and study group with 39 in each. Routine treatment was conducted in the control group, while perioperative management was performed comprehensively in the study group. The clinical treatment effects of the two groups were compared. Results After careful perioperative management, in the study group, the effective rate of the patients was 94.9%, and the complication rate was 17.9%; while those in the control groups were 79.5% and 38.5% respectively. The differences between the two groups were statistically significant（P0.05）. Conclusion The perioperative management for elderly patients undergoing biliary tract reoperation can significantly improve the success rate.