CAJ | 학술논문

目的：探讨综合医院外科术后谵妄的危险因素。方法：回顾性分析2012年1月-2013年1月在本院各科室外科术后发生谵妄的84例患者的临床病例资料，将其作为观察组；同时随机抽取84例同期外科住院手术后未发生谵妄的患者作为对照组，对比分析两组患者的年龄、术中输血、术后并发症、手术时间、麻醉方法、睡眠障碍、应激等情况。结果：年龄>60岁(高龄)、术中输血、应激、术后应用镇痛泵、疼痛、术前合并感染、手术时间长（超过2 h）与谵妄的发生有关（P<0.05），而术后并发症、睡眠障碍、麻醉方式与术后谵妄的发生无相关性（P>0.05）。结论：年龄>60岁、术中输血是综合医院外科术后发生谵妄的危险因素；各种术后并发症、睡眠障碍以及应激等因素可促进谵妄的发生。
목적：탐토종합의원외과술후섬망적위험인소。방법：회고성분석2012년1월-2013년1월재본원각과실외과술후발생섬망적84례환자적림상병례자료，장기작위관찰조；동시수궤추취84례동기외과주원수술후미발생섬망적환자작위대조조，대비분석량조환자적년령、술중수혈、술후병발증、수술시간、마취방법、수면장애、응격등정황。결과：년령>60세(고령)、술중수혈、응격、술후응용진통빙、동통、술전합병감염、수술시간장（초과2 h）여섬망적발생유관（P<0.05），이술후병발증、수면장애、마취방식여술후섬망적발생무상관성（P>0.05）。결론：년령>60세、술중수혈시종합의원외과술후발생섬망적위험인소；각충술후병발증、수면장애이급응격등인소가촉진섬망적발생。
Objective: To investigate the risk factors of postoperative delirium in general hospital.Method: The clinical data of 84 patients with postoperative delirium in every department of our hospital from January 2012 to January 2013 was selected as the observation group, at the same time 84 patients without postoperative delirium in our hospital were selected as the control group. The age, intraoperative blood transfusion, postoperative complications, duration of operation, method of anesthesia, sleep disorders, stress and so on between the two groups were compared and analyzed.Result: The two groups were compared, analysis showed that age>60 years (elderly), intraoperative blood transfusion, stress, application of postoperative analgesia pump, pain, preoperative infection, long-duration operation(≥2 h)associated with postoperative delirium(P<0.05). However, postoperative complications, sleep disorders, method anesthesia had no correlation with the occurrence of postoperative delirium(P>0.05). Conclusion: Age>60 years and intraoperative blood transfusion are risk factors of postoperative delirium in general hospital. Postoperative complications, sleep disorders and stress and other factors can promote delirium.