主动脉夹层患者发生精神障碍的相关因素分析  

Analyses on risk factors for those main-artery samdwich patient who have mind-impediment

作　　者：赵湛元[1] 张雨霞[1] 肖倩霞[1] 张志刚[1] 毛凯红[1] 安杰[1] 徐雪影[1] 

机构地区：[1]广东省中山市人民医院外科ICU,528403

出　　处：《中国临床实用医学》2009年第5期47-48,共2页China Clinical Practical Medicine

摘　　要：目的探讨主动脉夹层患者发生精神障碍的危险因素。方法收集进入外科ICU的主动脉夹层患者78例，选择性别、年龄、并发症（高血压病、慢支肺）、低氧血症、使用硝普钠、睡眠节律改变等临床因素，并用Richard镇静-烦躁评分系统对患者的精神状态进行评价，SAS评分在5级以上者诊断为精神状态异常，用Logistic回归对所得数据进行单因素和多因素分析。结果单因素分析显示，合并高血压病、大量使用硝普钠、低氧血症以及睡眠节律改变与主动脉夹层患者发生精神障碍有关，多因素分析显示，仅合并高血压病、睡眠节律改变及大量使用硝普钠与发生精神障碍有关。结论合并高血压病、大量使用硝普钠及睡眠节律改变是主动脉夹层患者发生精神障碍的相关因素。Objective Aim to probe into the risk factors for those main-artery samdwich patients who have mind-impediment. Methods Totally collect 78 mind-impediment cases that enter surgical ICU and select the clinical factor such as ： sex, age, complication, （ hypertension, chronic bronchus ＆ lung）, hypoxemia, sodium nitroprusside used, sleep rhythm, etc. Moreover, it takes the system If Calm-Upset which names Richard to appraise the mind of patient. It is diagnosed to be mind abnormal if SAS marking above level 5, at that time concerned data analysis is necessary, the data received will be conducted single-factor and multiple-factor analysis by the way of logistic regress. Results The single-factor analysis shows that the aspect of merge hypertension mass sodium nitroprussede used,hypoxemia and sleep rhythm have some relation with the main-artery samdwich patient who cause mind-impediment. Otherwise, the multiple-factor analysis shows that there are only the merge hypertension, sleep rhythm and mass sodium nitroprussdid used will bear on the mind-impediment. Conclusion The merge hypertension, mass sodium nitroprusside used, and sleep rhythm are the main factors that affect the main-artery samdwich patient occur the mind-impediment.

关 键 词：ICU 主动脉夹层 精神障碍 危险因素 

分 类 号：R54[医药卫生—心血管疾病] R74[医药卫生—内科学]