健康之路
健康之路
건강지로
HEALTH
2014年
4期
14-14
,共1页
经后路腰椎手术%谵妄%危险因素
經後路腰椎手術%譫妄%危險因素
경후로요추수술%섬망%위험인소
Posterior lumbar operation%Delirium%Risk factors
目的：分析经后路腰椎手术患者术后谵妄的发病情况及其围术期相关因素.方法：回顾性分析我院383例行后路腰椎手术的患者的临床资料,包括年龄、吸烟史、饮酒史(＞3次/周)、高血压病史、糖尿病病史、冠心病病史、服用安眠药史、术前焦虑、术后镇痛、术后疼痛评分＞3分、术后睡眠障碍和术后缺氧的发生情况.将可能与术后发生谵妄的相关因素进行多因素非条件 Logistic 回归分析.结果：29例患者发生术后谵妄.单因素分析,年龄、有无饮酒史、有无高血压病史、有无术前焦虑、有无术后镇痛、术后疼痛评分＞3分、有无术后睡眠障碍及有无术后缺氧比较,差异均有统计学意义(P＜0．20)；并进行多因素非条件 Logistic 回归分析显示,年龄[OR＝3．683,95％CI(1．332,7．172),P＝0．003]、术后疼痛评分＞3分[OR＝4．452,95％CI(1．653,11．452),P＝0．003]、术后睡眠障碍[OR＝3．172,95％CI(1．457,8．331), P＝0．004]、术后缺氧[OR＝3．442,95％CI(1．162,12．323),P＝0．005]进入回归方程.结论：高龄、术后疼痛、术后睡眠障碍、术后缺氧是术后谵妄的危险因素.
目的：分析經後路腰椎手術患者術後譫妄的髮病情況及其圍術期相關因素.方法：迴顧性分析我院383例行後路腰椎手術的患者的臨床資料,包括年齡、吸煙史、飲酒史(＞3次/週)、高血壓病史、糖尿病病史、冠心病病史、服用安眠藥史、術前焦慮、術後鎮痛、術後疼痛評分＞3分、術後睡眠障礙和術後缺氧的髮生情況.將可能與術後髮生譫妄的相關因素進行多因素非條件 Logistic 迴歸分析.結果：29例患者髮生術後譫妄.單因素分析,年齡、有無飲酒史、有無高血壓病史、有無術前焦慮、有無術後鎮痛、術後疼痛評分＞3分、有無術後睡眠障礙及有無術後缺氧比較,差異均有統計學意義(P＜0．20)；併進行多因素非條件 Logistic 迴歸分析顯示,年齡[OR＝3．683,95％CI(1．332,7．172),P＝0．003]、術後疼痛評分＞3分[OR＝4．452,95％CI(1．653,11．452),P＝0．003]、術後睡眠障礙[OR＝3．172,95％CI(1．457,8．331), P＝0．004]、術後缺氧[OR＝3．442,95％CI(1．162,12．323),P＝0．005]進入迴歸方程.結論：高齡、術後疼痛、術後睡眠障礙、術後缺氧是術後譫妄的危險因素.
목적：분석경후로요추수술환자술후섬망적발병정황급기위술기상관인소.방법：회고성분석아원383례행후로요추수술적환자적림상자료,포괄년령、흡연사、음주사(＞3차/주)、고혈압병사、당뇨병병사、관심병병사、복용안면약사、술전초필、술후진통、술후동통평분＞3분、술후수면장애화술후결양적발생정황.장가능여술후발생섬망적상관인소진행다인소비조건 Logistic 회귀분석.결과：29례환자발생술후섬망.단인소분석,년령、유무음주사、유무고혈압병사、유무술전초필、유무술후진통、술후동통평분＞3분、유무술후수면장애급유무술후결양비교,차이균유통계학의의(P＜0．20)；병진행다인소비조건 Logistic 회귀분석현시,년령[OR＝3．683,95％CI(1．332,7．172),P＝0．003]、술후동통평분＞3분[OR＝4．452,95％CI(1．653,11．452),P＝0．003]、술후수면장애[OR＝3．172,95％CI(1．457,8．331), P＝0．004]、술후결양[OR＝3．442,95％CI(1．162,12．323),P＝0．005]진입회귀방정.결론：고령、술후동통、술후수면장애、술후결양시술후섬망적위험인소.
Objective:To investigate the prevalence of delirium and perioperative factors after posterior lumbar operation.Methods:Clinical data(including age,smoking history,drinking history,hypertension history,diabetes history,coronary heart disease history,history of taking sleeping pil s,preoperative anxiety,postoperative analgesia, postoperative Visual Analog Scale(VAS)>3 ,postoperative sleep disturbance and postoperative ischemia)of 383 patients underwent posterior lumbar operation in our hos-pital were retrospectively analyzed.Possible relevant factors for postoperative delirium were analyzed by using multiple factor logistic regression analysis.Result:Twenty-nine patients had postoperative delirium with an occurrence rate of 7.6 %.According to single factor analysis,age,history of drinking,history of hypertension,preoperative anxiety,postoperative analgesia,postoperative VAS>3,postoperative sleep disorder and postoperative ischemia al showed statistical y significant differences(P<0.20 ). Conclusion:Postoperative VAS>3,age,postoperative sleep disturbances and postoperative ischemia are risk factors for postoperative delirium.
