日本老年患者的麻醉现状:术后日常生活活动和麻醉技术

Taeko Fukuda
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摘要

此外,麻醉困难病例的数量在此期间翻了一番。75岁及以上患者和85岁及以上患者的大型手术数量在这11年中分别增加了1.8倍和1.3倍。手术的数量正在增加,即使没有并发症,老年患者的adl也可能在手术后恶化。在我们对国家医院组织数据库中约31万例患者的调查中,我们发现70岁及以上患者术后ADL恶化率明显增加,90岁及以上患者达到20%。根据目前的文献,麻醉技术是否会影响老年髋部骨折术后患者的ADL尚不清楚,但已有研究表明,良好的术后镇痛可能有助于ADL的维持。
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Current Status of Anesthesiology in Elderly Japanese Patients:Postoperative Activities of Daily Living and Anesthesia Techniques
In addi-tion, the number of difficult anesthesia cases doubled during this time. The number of large-scale surgeries for patients aged 75 years and over and 85 years and over increased 1.8-fold and 1.3-fold, respectively, during these 11 years. The number of surgeries being performed is increasing, and older patients’ADLs may deteriorate after surgery even in the absence of complications. In our investigation using the National Hospital Organization’s database of about 310,000 patients, we found that postoperative ADL deterioration rates increased significantly in patients aged 70 years and over, reaching 20% in patients aged 90 years and over. According to the current literature, it is not clear whether anesthesia techniques affect postoperative ADLs in elderly patients who have undergone hip fracture surgery, but it has been suggested that good postoperative analgesia may contribute to ADL maintenance.
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