医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
19期
3526-3529
,共4页
韩静波(综述)%简道林(审校)
韓靜波(綜述)%簡道林(審校)
한정파(종술)%간도림(심교)
术后谵妄%危险因素%心脏
術後譫妄%危險因素%心髒
술후섬망%위험인소%심장
Postoperative delirium%Risk factors%Heart
除老年及认知障碍是导致心脏及非心脏手术出现术后谵妄的常见危险因素之外,不同手术种类患者术前的心理、术中的出血多少及持续时间、手术后的不同镇痛方法、睡眠的质量也是引起术后发生谵妄的常见危险因素。充分认识预测术后谵妄发生的常见危险因素并采取相应的预防和治疗措施,可有效地降低其发病率,进一步提高外科患者围手术期的安全性。
除老年及認知障礙是導緻心髒及非心髒手術齣現術後譫妄的常見危險因素之外,不同手術種類患者術前的心理、術中的齣血多少及持續時間、手術後的不同鎮痛方法、睡眠的質量也是引起術後髮生譫妄的常見危險因素。充分認識預測術後譫妄髮生的常見危險因素併採取相應的預防和治療措施,可有效地降低其髮病率,進一步提高外科患者圍手術期的安全性。
제노년급인지장애시도치심장급비심장수술출현술후섬망적상견위험인소지외,불동수술충류환자술전적심리、술중적출혈다소급지속시간、수술후적불동진통방법、수면적질량야시인기술후발생섬망적상견위험인소。충분인식예측술후섬망발생적상견위험인소병채취상응적예방화치료조시,가유효지강저기발병솔,진일보제고외과환자위수술기적안전성。
In addition to the elderly and cognitive impairment as the common risk factors of postoperative delirium in cardiac and noncardiac surgery, different preoperative psychologies, intraoperative blood loss, methods of analgesia,the quality of sleep are also risk factors of postoperative delirium. Having a full under-standing of the occurrence of common risk factors of postoperative delirium,then taking corresponding preven-tion and treatment measures,can effectively reduce the incidence of the disease,and further improve the peri-operative safety of the surgical patients.