CAJ | 학술논문

目的探讨不同基础疾病术后谵妄发病风险大小及术后恢复的有效措施.方法急诊手术患者978例,其中急腹症324例、心血管疾病358例、颅外伤296例.术前分析基础疾病,观察术后谵妄发病率,同时比较不同护理方式对谵妄患者疾病恢复的效果.结果高血压、冠心病和肺气肿患者在急症术后谵妄发病率较高(P＜0.05),其中合并多种疾病者发病率更高(P＜0.01),有效的心理干预可增加谵妄的康复率.结论术前基础疾病对术后谵妄的发生具有显著影响,心理干预对谵妄的恢复有较佳的疗效.
목적 탐토불동기출질병술후섬망발병풍험대소급술후회복적유효조시.방법 급진수술환자978례,기중급복증324례、심혈관질병358례、로외상296례.술전분석기출질병,관찰술후섬망발병솔,동시비교불동호리방식대섬망환자질병회복적효과.결과 고혈압、관심병화폐기종환자재급증술후섬망발병솔교고(P＜0.05),기중합병다충질병자발병솔경고(P＜0.01),유효적심리간예가증가섬망적강복솔.결론 술전기출질병대술후섬망적발생구유현저영향,심리간예대섬망적회복유교가적료효.
Objective To explore the incidence risk of postoperative delirium in different underlying diseases and the effective measures of postoperative recovery.Methods 978 cases of emergency surgery,included acute abdomen 324 cases,358 cases of cardiovascular disease,296 cases of cranial trauma.To analyze preoperative underlying diseases,we observed the incidence rate of postoperative delirium,and the efficacy of different care on delirium recovery was compared.Results There was a higher incidence rate of postoperative delirium in patients with coronary heart disease,high blood pressure and emphysema (P ＜ 0.05),especially in patients with multiple disease (P ＜0.01).And effective psychological intervention could increase the recovery rate of delirium.Conclusion The preoperative underlying diseases has a significant impact on the occurrence of postoperative delirium,and the psychological intervention has good effect on the recovery of delirium.