| 青壮年择期非心脏手术后谵妄的发生率及危险因素分析 |
| |
| 引用本文： | 张承华,麻伟青,杨云丽,董发团,王慧明,魏辉明.青壮年择期非心脏手术后谵妄的发生率及危险因素分析[J].昆明医学院学报,2011,32(1):95-98. |
| |
| 作者姓名： | 张承华 麻伟青 杨云丽 董发团 王慧明 魏辉明 |
| |
| 作者单位： | 成都军区昆明总医院麻醉科,云南,昆明,650032 |
| |
| 摘 要： | 目的探讨青壮年择期非心脏手术后谵妄的发生率及危险因素.方法采用整群抽样调查的方法,观察2010年3至6月期间18～50岁择期非心脏手术患者,术前即存在谵妄状态或诊断为痴呆、抑郁、认知功能障碍的患者除外,符合纳入标准共1 276例.术前1 d探视病人,手术结束当日,术后1、2、3 d密切随访患者,采用谵妄评定法（CAM）进行诊断评估.记录围术期的相关因素及谵妄的发生情况,建立数据库,根据是否发生谵妄分为谵妄组和对照组.结果有91例术后发生谵妄,发生率为7.13%.多因素Logistic逐步回归分析结果表明,全身麻醉、手术时间≥3 h、术后疼痛评分=4分、饮酒≥3次/w为谵妄的危险因素.结论全身麻醉、长时间手术、术后剧烈疼痛、长期饮酒是青壮年择期非心脏手术后谵妄的独立危险因素.
|
| 关 键 词： | 青壮年 择期手术 术后谵妄 发生率 危险因素 |
The Incidence Rate and the Risk Factors of Postoperative Delirium in the Young and the Middle-aged Elective Noncardiac Surgical Patients |
| |
| ZHANG Cheng-hua,MA Wei-qing,YANG Yun-li,DONG Fa-tuan,WANG Hui-ming,WEI Hui-ming.The Incidence Rate and the Risk Factors of Postoperative Delirium in the Young and the Middle-aged Elective Noncardiac Surgical Patients[J].Journal of Kunming Medical College,2011,32(1):95-98. |
| |
| Authors: | ZHANG Cheng-hua MA Wei-qing YANG Yun-li DONG Fa-tuan WANG Hui-ming WEI Hui-ming |
| |
| Institution: | ZHANG Cheng-hua,MA Wei-qing,YANG Yun-li,DONG Fa-tuan,WANG Hui-ming,WEI Hui-ming(Dept.of Anesthesiology,Kunming General Hospital of Chengdu Military Area,Kunming Yunnan 650032,China) |
| |
| Abstract: | Objective To explore the incidence rate and the risk factors of postoperative delirium in the young and the middle-aged elective noncardiac surgical patients.Methods A cluster sampling method was adopted in this cross-sectional study.1 276 patients,aged from18 to 50,undergoing elective noncardiac surgery were recruited from March to June,2010.The patients with delirum or diagnosed as dementia,depression,and cognitive dysfunction before operation were ruled out in this study.The enrolled patients were interv... |
| |
| Keywords: | The young and the middle-aged patients Elective surgery Postoperative delirium Incidence rate Risk factors |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
