脊柱术后并发谵妄综合征  

Delirium Syndrome after Spinal Surgery

作　　者：张戈[1] 冯大雄[1] 雷飞[1] 屈一鸣[1] 

机构地区：[1]泸州医学院附属医院脊柱外科,四川泸州646000

出　　处：《华西医学》2010年第1期109-111,共3页West China Medical Journal

摘　　要：目的:分析脊柱外科患者术后并发谵妄综合征的原因,总结其诊断、预防、治疗。方法:回顾性分析我科2008年10月至2009年4月脊柱手术167例,其中11例患者术后发生谵妄综合征。结果:11例患者均给予氟哌啶醇5mg im bid治疗,平均使用5.6天,症状缓解;并获3～6月随访,无一例复发谵妄综合征。结论:谵妄综合征是脊柱外科患者术后常见并发症,其发生与年龄,性别,低血糖等有关,目前治疗首选氟哌啶醇。Objective： To explore the causes,diagnosis,preservation and treatment of delirium as a complication after spinal surgery.Methods： A retrosroctive analysis was carried out in 167 cases with spinal surgery from October 2008 to April 2009.And delirium syndrome occurred in 11 cases.Results： All of the 11 cases were treated by haloperidol 5 mg im bid with average time of 5.6 days,and got good effect.All patients were followed up from 3 months to 6 months,none of them did rehospitalization because of delirium syndrome.Conclusion： Delirium syndrome is the common complication of the patient after spinal surgery,and the reason include age,sex,hypoglycaemia and so on.Haloperidol is considerded to be the first choice.

关 键 词：谵妄 脊柱手术 诊断 治疗 预防 

分 类 号：R749.2[医药卫生—神经病学与精神病学] R687[医药卫生—临床医学]