老年食管癌患者行胸腔镜下食管癌根治术后谵妄现状及相关危险因素

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[Abstract]ObjectiveBasedon clinical practice，thisstudyaimsto explore thecurrent status of postoperativedeliriumir elderlypatientswithesophagealcancerafterthoracoscopicradicalresectionofesophagealcanerandanalyzetherelatedriskfactors.

MethodsAtotalof2elderlypatientswitesohagealcanceradmitedtoteFirstAfiliatedHospitalofNanjingMedicalUnivesity fromJanuaryO24toFebruaryO25wereselectedasthereseachsbjects.Allpatintsunderwentthoracoscopicradicalrsectiofesophagealcancer.Teoccurrceofpostoperativedeliiumsstatisticallnalyed，ndunivarateaalsissonductedtheinfluencingfactosofpostoperativedelium.TheindicatorswithstatistcalsignificanceereusedasindependentvarablesforultiariatelogisticregressionanalysisResultsAmong te2elderlypatntswitsopagealcancer，51asesdevelopdpostopatived lirium，with a postoperative delirium rate of 25.25 % . Univariate analysis showed that compared with the non-delirium group，the delirium group had higher age， higher proportions of alcohol consumption，postoperative pain score >4 scores，three-port incision，postoperativehypoxemia，andsleepdisorders，longeranesthesia time，andhigherself-ratinganxietyscalescoreonthedaybeforesurgery， and the diferences were statistically significant （ P<0.05 ）. Multivariate logistic regresson analysis showed that increased age，postoperativepainscore>4soresostoprativehoxeiapdisordersndprolongedanestsiatiereindependentiskfactorsfor postoperative delirium in elderly patients with esophageal cancer （ P<0.05 ）.ConclusionThe incidence of postoperative delirium in elderlypatientswithsophagealcancraftertoracosopicrdicalresectioofsophagealcancerwaselativelyhigh，atentioshould be paid to elderlypatients withincreasedage，postoperativepainscore >4scores，ostoperativehypoxemia，sleepdisoders，andpro longed anesthesia time to reduce the incidence of postoperative delirium.

[Key words] Esophageal cancer； Thoracoscopic radical resection of esophageal cancer; Delirium；Risk factors

食管癌是常见的消化道恶性肿瘤，随着人口老龄化进程加速，老年食管癌患者的诊疗问题日益突出[1-2]。（剩余8044字）