Abstract: The prevalence of oral diseases is high in the elderly population，and some of these diseases require outpatient oral surgery. However，due to age-related physiological changes，chronic diseases，polypharmacy and other factors，the incidence of postoperative complications or adverse reactions is relatively high. At present，there are various types of common complications or adverse reactions in elderly patients undergoing outpatient oral surgery，among which bleeding，infection and pain are more frequent，which directly affect the prognosis and treatment comfort of patients. Combining advanced techniques with humanistic care and psychological relief，comfortable treatment is an important approach to improving the diagnosis and treatment experience and reduce adverse events in elderly patients. Based on the national status of population aging，previous literature and clinical experience，this paper analyzes and discusses the influencing factors of three major common complications or adverse reactions（bleeding，infection and pain）from three aspects：patient-related factors，surgery-related factors，as well as anesthesia and perioperative management factors，and explores the application value of comfortable treatment in outpatient oral surgery for elderly patients.

Key words: elderly, oral surgery, complications, adverse reactions, comfortable treatment

摘要： 老年人口腔疾病患病率高，部分疾病需接受口腔外科门诊手术治疗；其受增龄性生理改变、慢性病、多重用药等因素影响，术后并发症或不良反应发生率较高。目前老年人口腔外科门诊手术常见并发症或不良反应种类繁多，以出血、感染、疼痛较为常见，直接影响患者预后和治疗舒适度。舒适化治疗以技术结合人文关怀与心理舒缓为主，是改善老年患者诊疗体验及降低不良事件的重要方式。文章结合国家人口老龄化现状、既往文献及临床经验，从患者自身因素、手术相关因素、麻醉与围术期管理因素三方面，分析讨论出血、感染、疼痛三大常见并发症或不良反应的影响因素，并探讨舒适化治疗在老年患者口腔门诊手术中的应用价值。

关键词: 老年人, 口腔外科, 并发症, 不良反应, 舒适化治疗