术前并存疾病对老年颈椎手术围术期并发症的影响

• 作 者: 王成才 袁红斌 田谋利 王新华 贾连顺
• 机 构: Department of Anesthesiology,The Second Military Medical Hospital,Changzheng Hospital,Shanghai 20000
• 出 处: 中国临床康复
• 发表日期: 2003年2期
• 关键词: senile cervical vertebral operation anesthesia

AIM:To investigate the effects of preoperative other diseases on the complications of senile cervical vertebral operation in perioperative period.METHODS:800 senile cervical vertebral cases were divided into two group: group A included the cases without other comorbidities,and group B included the cases with hypertension, diabetes mellitus,coronary heart disease(CHD) or chronic obstructive pulmonary disease(COPD).We retrospectively analyzed the changes of BP,oxygen saturation(SaO2) and the incidence of cardiac arrhythmia during operation of group A and B.RESULTS:In perioperative period, the incidence of BP reduction or rising and cardiac arrhythmia in group B was more than that of group A.Incidence of SaO2 decreasing increases apparently in each stage and incidence of cerebrovascular, pulmonary complications and asphyxia led by incision bleeding increases apparently.CONCLUSION:The hypertension, CHD, diabetes mellitus and COPD were the main reasons of complications of the heart,the cerebral vessels and the lung, kidney and the incision bleeding in perioperative period of senile patients.