国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
3期
370-373
,共4页
周敏%刘中华%佘子瑜%梁群娣%周霭婷
週敏%劉中華%佘子瑜%樑群娣%週靄婷
주민%류중화%사자유%량군제%주애정
谵妄%综合医院%老年
譫妄%綜閤醫院%老年
섬망%종합의원%노년
Delirium%General hospital%Elderly in-patients
目的 探讨综合医院老年住院患者发生谵妄的相关因素及临床特点.方法 回顾性分析2011年1月至2012年12月收治的年龄≥65岁、住院期间发生谵妄的33例患者的临床资料,同期年龄≥65岁的住院患者40例为对照组,将单因素分析差异有统计学意义的指标进行logistic回归分析,研究谵妄发生的影响因素并分析临床特点.结果 研究显示,低氧、机械通气、睡眠障碍、疼痛、电解质紊乱、低血压、重症监护室治疗≥24 h是发生谵妄的主要危险因素(P＜0.05),两种以上疾病同时存在时谵妄发生的风险增加.结论 老年患者谵妄发生风险高,综合医院老年住院患者发生谵妄与多重因素相关,同时存在2种或2种以上疾病时风险明显增加,早期识别、控制危险因素、药物治疗是治疗谵妄的有效措施,尽早处理,多数患者可以改善,临床医生对高风险患者及低觉醒型谵妄应给予重视.
目的 探討綜閤醫院老年住院患者髮生譫妄的相關因素及臨床特點.方法 迴顧性分析2011年1月至2012年12月收治的年齡≥65歲、住院期間髮生譫妄的33例患者的臨床資料,同期年齡≥65歲的住院患者40例為對照組,將單因素分析差異有統計學意義的指標進行logistic迴歸分析,研究譫妄髮生的影響因素併分析臨床特點.結果 研究顯示,低氧、機械通氣、睡眠障礙、疼痛、電解質紊亂、低血壓、重癥鑑護室治療≥24 h是髮生譫妄的主要危險因素(P＜0.05),兩種以上疾病同時存在時譫妄髮生的風險增加.結論 老年患者譫妄髮生風險高,綜閤醫院老年住院患者髮生譫妄與多重因素相關,同時存在2種或2種以上疾病時風險明顯增加,早期識彆、控製危險因素、藥物治療是治療譫妄的有效措施,儘早處理,多數患者可以改善,臨床醫生對高風險患者及低覺醒型譫妄應給予重視.
목적 탐토종합의원노년주원환자발생섬망적상관인소급림상특점.방법 회고성분석2011년1월지2012년12월수치적년령≥65세、주원기간발생섬망적33례환자적림상자료,동기년령≥65세적주원환자40례위대조조,장단인소분석차이유통계학의의적지표진행logistic회귀분석,연구섬망발생적영향인소병분석림상특점.결과 연구현시,저양、궤계통기、수면장애、동통、전해질문란、저혈압、중증감호실치료≥24 h시발생섬망적주요위험인소(P＜0.05),량충이상질병동시존재시섬망발생적풍험증가.결론 노년환자섬망발생풍험고,종합의원노년주원환자발생섬망여다중인소상관,동시존재2충혹2충이상질병시풍험명현증가,조기식별、공제위험인소、약물치료시치료섬망적유효조시,진조처리,다수환자가이개선,림상의생대고풍험환자급저각성형섬망응급여중시.
Objective To investigate the clinical features and relative factors of elderly inpatients' delirium in general hospitals.Methods A total of 73 elderly in-patients aged over 65 years from our hospital from January 2011 to December 2012 were randomly enrolled in the study.33 cases with the episode of delirium were assigned to the observation group,and 40 cases without delirium were subjected in the control group.The significant influencing factors from single factor analysis for delirium were investigated by logistic regression analysis.Results Multiple logistic repression analysis showed that the major risk factors for delirium were as follows:hypoxia,mechanical ventilation,dyssomnia,pain,electrolyte disorder,and hypotension intensive care time over 24 hours.Moreover,the risk of delirium was increased in the cases with more than one risk factor concurrently.Conclusion The elderly in-patients in general hospital are with higher risk of delirium related to multiple factors.When it comes more than one risk factor concurrently,the risk of delirium is obviously increased.Early identification,risk factor control and drug therapy are effective measures for the treatment of delirium.Clinician should attach importance to high-risk patients with delirium,because patients' condition can be improved by early treatment.
