CAJ | 학술논문

目的：探讨退变性脊柱侧凸患者术后发生谵妄的影响因素。方法对319例退变性脊柱侧凸患者进行术后谵妄的发生率统计及影响因素分析。结果319例均得到随访，其中43例（13.48％）明确在术后发生谵妄。术后1 d发生谵妄33例，术后2～7 d发生10例；38例发生在夜间；活动过度型29例，活动减少型14例。结论退变性脊柱侧凸患者术后有较高的谵妄发生率并易被临床医师忽视，谵妄的发生是多重危险因素共同作用的结果，早期诊断、早期治疗有助于减少退变性脊柱侧凸术后谵妄的发生率。
목적：탐토퇴변성척주측철환자술후발생섬망적영향인소。방법대319례퇴변성척주측철환자진행술후섬망적발생솔통계급영향인소분석。결과319례균득도수방，기중43례（13.48％）명학재술후발생섬망。술후1 d발생섬망33례，술후2～7 d발생10례；38례발생재야간；활동과도형29례，활동감소형14례。결론퇴변성척주측철환자술후유교고적섬망발생솔병역피림상의사홀시，섬망적발생시다중위험인소공동작용적결과，조기진단、조기치료유조우감소퇴변성척주측철술후섬망적발생솔。
Objective To investigate influencing factor of postoperative delirium in the degenerative scoliosis.Meth-ods 319 degenerative scoliosis cases were enrolled in the study.The incidence rate and the influencing factor was analyzed.Results 319 cases were followed up.Postoperative delirium were detected in 43 cases (13.48%).33 cases were detected in the first day after operation,10 cases were detected in 2 ~7 days after operation;38 cases generated in the night;29 cases were the type of hyperenergia,while 14 were hypoenergia.Conclusions A high in-cidence rate of postoperative delirium can happen in the degenerative scoliosis.Postoperative delirium is the result of multiplicitas risk factor,early diagnosis and therapy can reduce the rate of postoperative delirium in the degenerative scoliosis.