CAJ | 학술논문

目的探讨麻醉后恢复室(post-anesthesia care unit,PACU)老年骨科全麻患者谵妄发生的危险因素. 方法观察67例接受骨科手术入PACU的老年全麻患者,拔管后5 min采用重症监护谵妄筛查检查表(the intensive care delirium screening checklist,ICDSC)评估谵妄.记录术中出入量,是否有尿管反应,患者的年龄、性别、体重、身高、受教育年限等一般资料,进行统计分析. 结果 19例患者(男5例,女14例)发生术后谵妄,占28.34％.谵妄组(Z组)平均年龄(77±7)岁,高于无谵妄组(NZ组)(72±6)岁;谵妄组(Z组)患者平均受教育年限(4.6±2.4)年,低于无谵妄组(NZ组)(6.5±3.1)年,两组比较差异有统计学意义(P＜0.05).对组间比较显示差异有统计学意义的变量进行Logistic回归分析发现,年龄可能为PACU谵妄发生的危险因素,P=0.005,OR=1.231. 结论年龄可能增加了PACU老年骨科全麻患者发生谵妄的风险.
목적 탐토마취후회복실(post-anesthesia care unit,PACU)노년골과전마환자섬망발생적위험인소. 방법 관찰67례접수골과수술입PACU적노년전마환자,발관후5 min채용중증감호섬망사사검사표(the intensive care delirium screening checklist,ICDSC)평고섬망.기록술중출입량,시부유뇨관반응,환자적년령、성별、체중、신고、수교육년한등일반자료,진행통계분석. 결과 19례환자(남5례,녀14례)발생술후섬망,점28.34％.섬망조(Z조)평균년령(77±7)세,고우무섬망조(NZ조)(72±6)세;섬망조(Z조)환자평균수교육년한(4.6±2.4)년,저우무섬망조(NZ조)(6.5±3.1)년,량조비교차이유통계학의의(P＜0.05).대조간비교현시차이유통계학의의적변량진행Logistic회귀분석발현,년령가능위PACU섬망발생적위험인소,P=0.005,OR=1.231. 결론 년령가능증가료PACU노년골과전마환자발생섬망적풍험.
Objective To investigate the risk factors for delirium incidence in older orthopedic surgery patients in postanesthesia care unit (PACU) following general anesthesia.Methods Sixty-seven cases of elderly patients exposed to orthopedics surgery with general anesthesia were enrolled in the PACU.Delirium was evaluated with the intensive care delirium screening checklist (ICDSC) after extubation for 5 min.We also recorded relevant data for statistical analysis such as intraoperative fluid intake and output,positive reaction for catheterization as well as patient's age,sex,weight,body height and education time.Results Postoperative delirium was observed in 19 patients (5 males and 14 females),accounting for 28.34％.The average age in delirium group(group Z) was (77±7),while non-delirium group (group NZ) was (72±6).Furthermore,the average education time in group Z was(4.6±2.4),which was much lower compared with (6.5±3:1) group NZ,and exhibited statistically significant differences between the two groups (P＜0.05).We also revealed that age may serve as a potential risk factor for delirium via logistic regression analysis for variables observed statistically significant in comparisons between groups (P=0.005,OR=1.231).Conclusions Age may increase the risk of delirium in older orthopedic patients in PACU following general anesthesia.