CAJ | 학술논문

目的：研究A型主动脉夹层术后谵妄的发生率和相关危险因素。方法以A型主动脉夹层术后患者为研究对象，以意识错乱评估方法作为谵妄诊断工具，分析术后谵妄的发生率和危险因素。结果共有84例患者纳入研究，发生术后谵妄28例，发生率为33．3％。21例（75％）为一过性谵妄（＜24 h）；7例（25％）为持续性谵妄。Logistic多因素回归分析结果表明，脑梗死、深低温停循环时间、重症监护病房时间是术后谵妄的危险因素。结论既往脑梗死、深低温停循环时间、重症监护病房持续时间是术后谵妄的独立危险因素。
목적：연구A형주동맥협층술후섬망적발생솔화상관위험인소。방법이A형주동맥협층술후환자위연구대상，이의식착란평고방법작위섬망진단공구，분석술후섬망적발생솔화위험인소。결과공유84례환자납입연구，발생술후섬망28례，발생솔위33．3％。21례（75％）위일과성섬망（＜24 h）；7례（25％）위지속성섬망。Logistic다인소회귀분석결과표명，뇌경사、심저온정순배시간、중증감호병방시간시술후섬망적위험인소。결론기왕뇌경사、심저온정순배시간、중증감호병방지속시간시술후섬망적독립위험인소。
Objective To study the morbidity and risk factors of postoperative delirium after A-type aortic dissection surgery.Methods Eighty-four patients undergoing aortic dissection surgery were evaluated with Confusion Assessment Method (CAM).Results Delir-ium occurred in 28 patients and morbidity of postoperative delirium was 33.3%.Twenty-one patients (75%)suffered from transient delirium (<24 h).Seven patients (25%)suffered from continuous delirium.The logistic stepwise regression analysis indicated that the perioperative risk factors of delirium included cerebrovascular accident history,deep hypothermic circulatory arrest (DHCA)time and ICU duration time.Conclusions The independent risk factors of postoperative delirium included previous cerebral infarction,DH-CA-time and ICU duration time.