노인환자의 비내시경 수술에서 기저질환에 따른 위험인자

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)