12例脊柱手术后患者并发精神障碍的原因分析及护理

目的探讨脊柱手术后患者并发精神障碍的影响因素，并总结护理对策。方法回顾性分析脊柱手术后并发精神障碍的12例患者的临床资料，分析其发病的高危因素，并给予有针对性的护理。结果除1例终因肺栓塞死亡外，其余患者的精神症状均逐渐缓解，3—7d后症状完全消失，手术效果理想，无不良反应，8—21d痊愈出院。结论了解脊柱手术患者术后并发精神障碍的高危因素，启动风险预警机制，实施有针对性的护理对预防术后精神障碍有重要作用。

Causes of 12 cases of postoperative psychosis after spinal operation and nursing strategies

Objective To investigate the high risk factors of postoperative psychosis followed by spinal operation and summarize nursing strategies. Method The clinical data of 12 patients with postoperative psychosis after spinal operation were retrospectively reviewed to analyze the high risk factors and summarize its proper nursing strategies. Results One patient died of pulmonary embolism. The other 11 cases had their symptoms gradually remitted and cured in 3 - 7 days. They were discharged with no adverse affects after 8 - 21 days. Conclusion Understanding the high risk factors of postoperative psychosis after spinal operation and conducting corresponding nursing measures can play an important role in the prevention of postoperative psychosis.