ICU机械通气患者谵妄亚型分析  

Subtypes of delirium in ICU mechanically ventilated patients

作　　者：庞礴[1] 査佳安[1] 方长太[1] 朱春燕[2] 

机构地区：[1]安徽医科大学附属安庆医院急诊ICU,安庆246003 [2]安徽医科大学医学心理学系,合肥230032

出　　处：《安徽医科大学学报》2013年第3期305-308,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金青年项目(编号:31100812)

摘　　要：目的探讨ICU机械通气患者谵妄亚型的发生率及风险因素。方法采用前瞻性队列研究,收集ICU机械通气患者的基线资料,应用简体中文版意识模糊评估法(CAM-ICU)对患者进行评估。结果共有235例机械通气患者纳入样本,151例(64.26%)发生谵妄,其中活动增多型谵妄33例(21.85%),活动减少型谵妄84例(55.63%),混合型谵妄为34例(22.52%)。应用Logistic回归分析发现,年龄和呼吸系统疾病分别是活动减少型和混合型谵妄的风险因素(OR=2.365,OR=1.312;OR=1.376,OR=1.352)。结论ICU机械通气患者活动减少型谵妄发生率最高,其次为混合型、活动增多型谵妄。活动减少型和混合型谵妄有共同的独立风险因素。Objective To explore the incidence and risk factors in the subtypes of delirium in ICU mechanically ventilated patients. Methods A prospective cohort study was implemented. The baseline data of patients were gathered, and the simplified Chinese version of the confusion assessment method （CAM-ICU） was adopted to assess the patients. Results 235 mechanically ventilated patients were collected, and the incidence of delirium was 64. 25%, in which the hyperative delirium was 21.85%, hypoactive one 55.63%, and mixed one 22.52%. Muhivariable analysis suggested that aging and respiratory diseases increased the risk of hypoactive and mixed delirium in mechanically ventilated patients respectively（ OR =2. 365, OR = 1. 312 ; OR = 1. 376, OR = 1. 352）. Conclusion The highest incidence lies in the subtype of hypoative delirium, followed by mix delirium, and then by hyperative delirium. Common risk factors are found in the hypoactive and mixed delirium patients.

关 键 词：谵妄亚型 发生率 风险因素 机械通气 

分 类 号：R473.5[医药卫生—护理学]