国际老年医学杂志2026，Vol.47Issue(2)：177-182,6.DOI:10.3969/j.issn.1674-7593.2026.02.009
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
Postoperative delirium and risk factors in elderly patients after thoracoscopic radical resection of esophageal cancer
摘要
Abstract
Objective Based on clinical practice,this study aims to explore the current status of postoperative delirium in elderly patients with esophageal cancer after thoracoscopic radical resection of esophageal cancer and analyze the related risk factors.Methods A total of 202 elderly patients with esophageal cancer admitted to the First Affiliated Hospital of Nanjing Medical University from January 2024 to February 2025 were selected as the research subjects.All patients underwent thoracoscopic radical resection of e-sophageal cancer.The occurrence of postoperative delirium was statistically analyzed,and univariate analysis was conducted on the in-fluencing factors of postoperative delirium.The indicators with statistical significance were used as independent variables for multivari-ate logistic regression analysis.Results Among the 202 elderly patients with esophageal cancer,51 cases developed postoperative de-lirium,with a postoperative delirium rate of 25.25%.Univariate analysis showed that compared with the non-delirium group,the delir-ium group had higher age,higher proportions of alcohol consumption,postoperative pain score>4 scores,three-port incision,postop-erative hypoxemia,and sleep disorders,longer anesthesia time,and higher self-rating anxiety scale score on the day before surgery,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that increased age,postop-erative pain score>4 scores,postoperative hypoxemia,sleep disorders,and prolonged anesthesia time were independent risk factors for postoperative delirium in elderly patients with esophageal cancer(P<0.05).Conclusion The incidence of postoperative delirium in elderly patients with esophageal cancer after thoracoscopic radical resection of esophageal cancer was relatively high,attention should be paid to elderly patients with increased age,postoperative pain score>4 scores,postoperative hypoxemia,sleep disorders,and pro-longed anesthesia time to reduce the incidence of postoperative delirium.关键词
食管癌/胸腔镜下食管癌根治术/谵妄/危险因素Key words
Esophageal cancer/Thoracoscopic radical resection of esophageal cancer/Delirium/Risk factors引用本文复制引用
邢闰婷,许波静,王浩然,葛经武..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[J].国际老年医学杂志,2026,47(2):177-182,6.基金项目
国家自然科学基金资助项目(82201380) （82201380）
