원저

노인환자의 비내시경 수술에서 기저질환에 따른 위험인자

손희영1, 김대우1,2, 김진평1,2, 안성기1,2, 박정제1,2, 허동구1,2, 전시영1,2,*
Hee Young Son1, Dae Woo Kim1,2, Jin Pyeong Kim1,2, Seong Ki Ahn1,2, Jeong Jae Park1,2, Dong Gu Hur1,2, Sea Yuong Jeon1,2,*
Author Information & Copyright
1경상대학교 의학전문대학원 이비인후과학교실
2건강과학연구원
1Department of Otolaryngology, College of Medicine, Gyeongsang National University, Jinju, Korea
2Gyeongsang Institute of Health Science, College of Medicine, Gyeongsang National University, Jinju, Korea
*교신저자: 전시영, 660-702 경남 진주시 칠암동 90 경상대학교 의학전문대학원 이비인후과학교실 전화 :(055) 750-8174·전송:(055) 759-0613 E-mail: syjeon@nongae.gsnu.ac.kr

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 16, 2010; Revised: Sep 01, 2010; Accepted: Sep 28, 2010

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: The number of geriatric patients being seen by rhinology specialists is increasing. They prefer surgery to medical treatment to improve their quality of life. However, little is known about the perioperative complications that geriatric patients experience. Therefore, this study is to investigate the postoperative complications and preoperative risk factors of geriatric patients who undergo ESS. Materials and Methods: We retrospectively reviewed the medical records of 64 patients who underwent ESS under general anesthesia from 1998 through 2008. It analyzed the underlying diseases and medicine-taking history, and complications by the past medical histories. Statistical analyses were performed to determine the preoperative risk factors. Fisher’s exact test was used to compare the two groups. Statistical significance was set at p<0.05. Results: Among the during anesthesia 64 patients, 63% (N=44) had underlying diseases such as hypertension, diabetes and benign prostatic hypertrophy (BPH). Hypertension was the most common disease and the taking medicine included antihypertensive drug and aspirin. The hypertension group showed higher systolic blood pressure changes than the normal group. The BPH group had more postoperative voiding difficulties than the normal one. Conclusions: The preoperative risk factors of geriatric patients who undergo ESS were hypertension and BPH. For elderly patients, these underlying diseases should be checked to prevent postoperative complications. (J Clinical Otolaryngol 2010;21:233–238)

Keywords: 노인; 수술위험인자; 비내시경 수술
Keywords: Geriatrics; Risk factor; Endoscopic sinus surgery