CAJ | 학술논문

目的：分析腹部手术硬全联合麻醉患者术后谵妄的影响因素。方法：采用病例对照研究方法，选择腹部手术硬全联合麻醉患者，根据患者术后3天内是否发生谵妄分为病例组和对照组，以单因素分析联合多因素分析方法研究患者术后发生谵妄的影响因素。结果：患者术后谵妄发生率4.95%，患者均在术后24 h内发病；高龄、手术时间＞2h、术后疼痛评分＞2分、肺部慢性疾病史、饮酒史是患者术后发生谵妄的危险因素。结论：对高龄、既往患有肺部慢性疾病、手术时间长的患者，术后密切监测电解质、血气，防治肺部感染的发生，以降低患者术后谵妄的发生率。
목적：분석복부수술경전연합마취환자술후섬망적영향인소。방법：채용병례대조연구방법，선택복부수술경전연합마취환자，근거환자술후3천내시부발생섬망분위병례조화대조조，이단인소분석연합다인소분석방법연구환자술후발생섬망적영향인소。결과：환자술후섬망발생솔4.95%，환자균재술후24 h내발병；고령、수술시간＞2h、술후동통평분＞2분、폐부만성질병사、음주사시환자술후발생섬망적위험인소。결론：대고령、기왕환유폐부만성질병、수술시간장적환자，술후밀절감측전해질、혈기，방치폐부감염적발생，이강저환자술후섬망적발생솔。
Objective:To analysis the influencing factors of postoperative delirium in continuous epidural block combined with general anesthesia with tracheal intubation on abdominal operation. Methods:The case control study were used, continuous epidural block combined with general anesthesia with tracheal intubation on abdominal operation patients were selected, was divided into case group and control group according to the delirium of patients after 3 days, study the influence factors of postoperative delirium in patients by single factor analysis and multiple factor analysis.Results:The incidence rate of delirium was 4.95%in patients, the patients were onset within 24h;senility, operation time≥2h, postoperative pain score>2, chronic lung disease, drinking history were risk factors of postoperative delirium for patients.Conclusion:In the light of elderly patients, who suffered from chronic lung disease, long operation time of patients, postoperative close monitoring of electrolytes, blood gas analysis, prevention and treatment of pulmonary infection, to reduce the incidence of postoperative delirium in elderly patients .