论文部分内容阅读
目的总结老年鼻部疾患的临床特点,以提高老年鼻部疾病患者围治疗期安全性。方法回顾分析2007至2009年老年鼻部疾患住院患者258例的特点及治疗方法。结果 258例老年鼻部疾患中,鼻腔鼻窦炎性患者120例(46.5%),鼻出血患者69例(26.7%),鼻部肿瘤患者64例(24.8%);约221例(85.6%)患者采取了鼻内镜相关的低危治疗或手术。158例(61.2%)伴发老年合并症,主要老年合并症为心血管系统合并症(占63.3%)及糖尿病(占29.1%),且往往多合并症并存,103例(65.2%)伴发2种及以上合并症。老年合并症发病率性别间和不同疾病组间差异无统计学意义。2例延期手术,9例选择非手术治疗。发生围治疗期并发症3例。结论老年鼻部疾患患者有其独特的病理生理特点,应重视对其并存症的诊治,尽量减轻手术创伤,可有效减少手术风险及术后并发症。
Objective To summarize the clinical features of elderly nasal disorders in order to improve the safety of peri-treatment in elderly patients with nasal diseases. Methods Retrospective analysis of the characteristics and treatment of 258 cases of elderly patients with nasal diseases in 2007-2009. Results Among the 258 elderly patients with nasal diseases, 120 (46.5%) had nasal sinusitis, 69 (26.7%) had nosebleeds, 64 (24.8%) had nasal tumor, and 221 (85.6%) had nasal sinusitis Take endoscopic low-risk treatment or surgery. 158 cases (61.2%) had senile comorbidities. The main comorbidities were cardiovascular complications (63.3%) and diabetes (29.1%). Often, there were multiple comorbidities and 103 (65.2% 2 or more complications. There was no significant difference in the incidence of senile comorbidity between different sexes and different diseases. 2 cases delayed surgery, 9 cases chose non-surgical treatment. Perioperative complications occurred in 3 cases. Conclusions Patients with senile nasal diseases have their own unique pathophysiological characteristics. They should pay attention to the diagnosis and treatment of its co-morbidities and minimize the surgical trauma, which can effectively reduce the operation risk and postoperative complications.