摘要
目的分析不同衰弱评分老年患者行经尿道等离子体双极前列腺电切(TUPKP)术后相关并发症发生情况。方法选取青海省人民医院泌尿外科2019年1—12月收治的300例行TUPKP术的患者为研究对象,术前进行衰弱评分,依据衰弱评分情况分为无衰弱组(90例)、轻度衰弱组(95例)以及衰弱组(115例),对比各组并发症发生情况及术前、术后、术后一周各组生命功能恢复情况。结果无衰弱组术后并发症发生率为15.56%(14/90),轻度衰弱组术后并发症发生率为34.74%(33/95),衰弱组术后并发症发生率为56.52%(65/115)。3组患者术后并发症发生率比较,差异有统计学意义(χ^(2)=36.617,P<0.001)。各组患者不同时间生命功能评分比较,差异有统计学意义(P<0.05)。结论术前的衰弱评分可能与老年前列腺增生患者行TUPKP术后并发症发生率有关。
Objective To analyze the incidence of TUPKP-related complications in elderly patients with different frailty scores.Methods A total of 300 patients undergoing TUPKP surgery admitted to the Department of Urology,Qinghai Provincial People’s Hospital from January to December 2019 were selected as the research objects,and the preoperative frailty score was performed.According to the frailty score,they were divided into no frailty group(90 cases)and mild frailty group(95 cases)and the debilitating group(115 cases),compare the occurrence of complications in each group and the recovery of life function in each group before,after,and one week after surgery.Results The postoperative complication rate of the non-frailty group was 15.56%(14/90),the mild frailty group was 34.74%(33/95),and the frailty group was 56.52%(65/115).Comparing the incidence of postoperative complications in the 3 groups,the difference was statistically significant(χ^(2)=36.617,P<0.001).Comparison of the vital function scores of patients in each group at different times,the difference was statistically significant(P<0.05).Conclusion The preoperative frailty score may be related to the incidence of complications after TUPKP in elderly patients with benign prostatic hyperplasia.
作者
于湧
YU Yong(Qinghai Provincial People's Hospital,Xining 810007,China)
出处
《中国全科医学》
CAS
北大核心
2021年第S02期126-128,共3页
Chinese General Practice