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为了探讨老年口腔癌患者的年龄、术前合并症等对术后并发症发生的影响,对43例老年口腔癌患者(年龄≥60岁)和46例年龄<60岁口腔癌患者的术前合并症及术后并发症的比较,总结和分析了老年口腔癌患者的年龄、术前合并症与术后并发症发生率的关系。老年口腔癌患者术前合并症总发生率为83.7%(36/43),非老年患者为37.0%(17/46)。老年和非老年口腔癌患者发生率最高的合并症为高血压〔44.2%(19/43)、19.6%(9/46)〕。存在并发症的患者术前糖尿病(P=0.0174)、肺部疾病(P=0.0002)、低蛋白血症(P=0.0022)和贫血(P=0.0030)显著高于无并发症的患者。初步研究结果提示,年龄并不是一个影响术后并发症的独立因素,某些术前合并症(糖尿病、肺部疾病、贫血、低蛋白血症)是发生术后并发症的主要高危因素。
To investigate the effect of age, preoperative complications and other complications on the incidence of postoperative complications in elderly patients with oral cancer, 43 cases of elderly patients with oral cancer (≥60 years old) and 46 cases of oral cancer patients aged <60 years were enrolled And complications after surgery, summarizes and analyzes the age of elderly patients with oral cancer, preoperative complications and the incidence of postoperative complications. The overall incidence of preoperative complications was 83.7% (36/43) in elderly oral cancer patients and 37.0% (17/46) in non-elderly patients. The highest incidence of comorbidities among elderly and non-elderly oral cancer patients was hypertension (44.2% (19/43), 19.6% (9/46)). Preoperative diabetes (P = 0.0174), pulmonary disease (P = 0.0002), hypoproteinemia (P = 0.0022), and anemia (P = 0.0030) were significantly higher in patients with complications than those without complications. Preliminary findings suggest that age is not an independent factor affecting postoperative complications. Some preoperative complications (diabetes, lung disease, anemia, hypoproteinemia) are the major risk factors for postoperative complications.