帕金森病骨科与非骨科手术患者围术期并发症发生率比较

Comparison of Incidence of Perioperative Complications between Parkinson s Disease Orthopedic Surgery and Non-orthopedic Surgery Patients:A retrospective analysis

【目的】回顾性分析帕金森病(Parkinson disease,PD)骨科与非骨科手术患者围术期并发症的发生情况,为PD患者的围术期管理提供依据。【方法】通过医渡云对2014年1月至2019年12月在本院行手术治疗的患者进行筛选,合并PD患者纳入研究。接受骨科手术患者纳入观察组,其余纳入对照组,比较两组患者一般情况,术后镇痛泵的使用率及围术期并发症发生率等的差异。【结果】合并PD手术患者共84例,观察组25例,对照组59例,两组患者一般情况的比较差异无显著性(P>0.05);观察组术后镇痛泵的使用率和术后疼痛发生率均高于对照组(P>0.05);两组术中血管活性药物使用率,术后肺部感染、泌尿系统感染、切口感染、胃肠道反应、术后请妄、心律失常、心功能不全、呼吸功能不全等术后并发症发生率相比较差异无显著性(P>0.05)。【结论】PD患者行骨科手术术后疼痛发生率高于非骨科手术患者,对于行骨科手术的PD患者应注重围术期疼痛管理,采取多模式镇痛,减少后续并发症的发生。

【Objective】We retrospectively analyzed the incidence of perioperative complications between Parkinson's disease orthopedic surgery and non-orthopedic surgery patients to provide the basis of the perioperative management of Parkinson's patients(PD).【Methods】Parkinsorfs disease patients who accept surgical treatment in our hospital during January 2014 to December 2019 were selected.All patients were divided into the orthopedic group and non-orthopedic group.The basic information,the use rate of postoperative analgesia pump and the incidence o£perioperative complications were compared.【Results】Among 84 Parkinson's disease patients with surger-y,there were 25 cases in the orthopedics group and 59 cases in the the non-orthopedic group.The basic information showed no significance in statistics between two groups(P>0.05).The use rate of postoperative analgesia-pump in the orthopedics group was higher than that in the non-orthopedic group(P<0.05).The incidence of postoperative pain in the orthopedics group was higher than that in the non-orthopedic group(P<0.05).The vasoactive agent usage,postoperative pulmonary infection,urinary tract infection,wound infection,gastrointestinal reactions,postoperative delirium,arrhythmia,cardiac insufficiency and respiratory insufficiency did not show statistical significance between two groups(P>0.05).【Conclusion】The incidence of postoperative pain in Parkinson's disease patients with orthopedic surgery is higher than Parkinson's disease with non-orthopedic surgery.