CAJ | 학술논문

目的：探讨老年人人工关节置换术后出现精神异常(Postoperative Psychonosema,POP)进行临床分析。方法：2008年12月—2014年1月髋关节置换术后16例出现精神障碍的老年患者进行分析分析。男5例，女11例。有明显焦虑症状的患者应用阿普唑仑片及其他抗焦虑药物处理；存在精神症状，予奥氮平片、喹硫平片等抗精神异常治疗。结果：年龄分布：70～79岁6例；80～89岁8例；90～97岁2例。人工股骨头置换7例，全髋关节置换术9例，骨水泥固定10例，非骨水泥固定6例。抗精神药物l周内症状缓解，部分患者术后2周出院时，仍需带药维持1月。均获随访3～12月，平均8.4月，精神异常症状消失，无再发精神异常。结论：老年患者髋关节置换术后精神异常可能涉及多种原因，及时发现和治疗是关键，预后大多良好。
목적：탐토노년인인공관절치환술후출현정신이상(Postoperative Psychonosema,POP)진행림상분석。방법：2008년12월—2014년1월관관절치환술후16례출현정신장애적노년환자진행분석분석。남5례，녀11례。유명현초필증상적환자응용아보서륜편급기타항초필약물처리；존재정신증상，여오담평편、규류평편등항정신이상치료。결과：년령분포：70～79세6례；80～89세8례；90～97세2례。인공고골두치환7례，전관관절치환술9례，골수니고정10례，비골수니고정6례。항정신약물l주내증상완해，부분환자술후2주출원시，잉수대약유지1월。균획수방3～12월，평균8.4월，정신이상증상소실，무재발정신이상。결론：노년환자관관절치환술후정신이상가능섭급다충원인，급시발현화치료시관건，예후대다량호。
Objective: Investigate the reason of abnormal mental after artificial joint replacement and countermeasures.Methods:From December 2008 to January 2014 hip replacement after 16 cases of elderly patients with mental disorders were analyzed.Results:Taking antidepressant drugs after a week of symptoms, some patients 2 weeks after discharge, still need to take medicine to maintain in January. Followed up for 3~12 months, mental disorder symptoms disappeared, no recurrence of mental disorder.Conclusions: Elderly patients with mental disorder after hip replacement might involve a variety of reasons, timely detection and treatment is the key to most good prognosis.