[1]陈 静,付文广,刘 莉,等.老年开腹手术患者术后谵妄影响因素研究[J].医学信息,2020,33(16):68-71.[doi:10.3969/j.issn.1006-1959.2020.16.021]
　CHEN Jing,FU Wen-Guang,LIU Li,et al.Study on Influencing Factors of Postoperative Delirium in Elderly Patients Undergoing Open Surgery[J].Medical Information,2020,33(16):68-71.[doi:10.3969/j.issn.1006-1959.2020.16.021]
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老年开腹手术患者术后谵妄影响因素研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年16期
页码:
68-71
栏目:
论著
出版日期:
2020-08-15

文章信息/Info

Title:
Study on Influencing Factors of Postoperative Delirium in Elderly Patients Undergoing Open Surgery
文章编号:
1006-1959（2020）16-0068-04
作者:
陈 静; 付文广; 刘 莉; 等
（西南医科大学附属医院肝胆外科1，护理部2，四川 泸州 646000）
Author(s):
CHEN Jing; FU Wen-Guang; LIU Li; et al
(Hepatobiliary Surgery1,Department of Nursing2,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan,China)
关键词:
老年患者; 开腹手术; 术后谵妄; 危险因素
Keywords:
Elderly patients; Open surgery; Postoperative delirium; Risk factors
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2020.16.021
文献标志码:
A
摘要:
目的 了解老年患者开腹手术术后谵妄的发生情况，并探讨其影响因素。方法 收集2018年1月~2019年1月我院180例开腹手术老年患者作为研究对象，收集患者年龄、性别、手术情况等相关资料，采用意识错乱评估方法（CAM）诊断患者是否存在谵妄分为谵妄组及非谵妄组，采用Logistic回归模型分析老年患者开腹手术术后谵妄危险因素。结果 180例患者术后谵妄发生率为10.56%；单因素分析显示，谵妄组及非谵妄组年龄、BMI、婚姻状况、睡眠时间、使用面罩、麻醉分级及术后第1天C反应蛋白水平比较，差异有统计学意义(P＜0.05)；多因素Logistic回归分析显示，年龄、睡眠、术后第1天C反应蛋白水平是术后谵妄的独立危险因素。结论 高龄、睡眠差、高CRP水平是老年开腹手术患者术后谵妄的危险因素，年龄越大，术后谵妄发生风险越高，睡眠差者较睡眠好者更易发生术后谵妄，术后第1天C反应蛋白高的患者发生谵妄的风险更高。
Abstract:
Objective To understand the occurrence of delirium after open surgery in elderly patients, and to explore its influencing factors.Methods A total of 180 elderly patients undergoing laparotomy in our hospital from January 2018 to January 2019 were collected as the research objects. The age, gender, and surgical status of the patients were collected. The confusion assessment method (CAM) was used to diagnose the presence of delirium scores. For delirium group and non-delirium group,Logistic regression model was used to analyze the risk factors of delirium after open surgery in elderly patients.Results The incidence of postoperative delirium in 180 patients was 10.56%; univariate analysis showed that the comparison of age, BMI, marital status, sleep time, mask use, anesthesia grade, and C-reactive protein level on the first day after the operation in the delirium group and the non-delirium group,the difference was statistically significant (P<0.05); multivariate logistic regression analysis showed that age, sleep, and C-reactive protein level on the first day after surgery were independent risk factors for postoperative delirium.Conclusion Older age, poor sleep, and high CRP levels were risk factors for postoperative delirium in elderly patients undergoing open surgery. The older the patient, the higher the risk of postoperative delirium. People with poor sleep were more likely to develop postoperative delirium than those with better sleep. Patients with high C-reactive protein at 1 day had a higher risk of delirium.

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更新日期/Last Update: 1900-01-01