老年妇科手术患者的临床特点及处理探讨

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.

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

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.