心脏术后患者发生ICU谵妄的相关因素分析  

Analysis of associated factors of ICU delirium after cardiac surgery

作　　者：紫翠然[1] 

机构地区：[1]阜外心血管病医院成人第二恢复室,北京100037

出　　处：《中国实用护理杂志》2013年第19期54-56,共3页Chinese Journal of Practical Nursing

摘　　要：目的分析心脏术后ICU谵妄发生的相关因素，提出合适的防治策略。方法观察124例心脏术后的患者，记录性别、年龄、血型、呼吸机辅助时间及ICU时间；利用护士谵妄筛查量表（nursingdeliriumscreeningscale，Nu—DESC）评价是否发生ICU谵妄。利用SPSS软件进行统计分析。结果124例心脏术后，顺利拔除气管插管的患者中，ICU谵妄的发生率为17％；ICU谵妄组与无ICU谵妄组的年龄、呼吸机辅助时间、人住ICU时间均有差异。不同血型的患者ICU谵妄的发生率显著不同，其中A型血的发生率明显高于B型血及0型血。Logistic回归进行单因素回归，发现年龄、呼吸机辅助时间、ICU时间、性别及血型均是ICU谵妄的相关因素。结论年龄、呼吸机辅助时间、ICU时间、性别及血型均是ICU谵妄的影响因素。男性、高龄、较长的呼吸机辅助时间及ICU时间易导致ICU谵妄的发生。不同血型之间，ICU谵妄发生率明显不同，A型血较0型血、B型血更易发生ICU谵妄。Objective To analyze the associated factors of ICU delirium after cardiac surgery, and propose the proper treatment strategy. Methods 124 patients after cardiac surgery were ob- served. The basic information including gender,age, blood type, respirator assistant time and ICU hos- pitalizing time was recorded. SPSS software was used for statistical analysis. Results Among the 124 patients,the incidence of ICU delirium was 17%. There was significant difference between patients with ICU delirium and without ICU delirium on age,respirator assistant time and ICU hospitalizing time. The ICU delirium incidence was dramatically different among different blood types, and the incidence of blood type A was much more higher than blood type B and O. Univariate Logistic regression analysis showed that age,mechanical ventilation time, ICU time, gender and blood types were the related factors of delirium in ICU. Conclusions Age, respirator assistant time, ICU hospitalizing time, and blood type are all influencing factors of ICU delirium. Patients who are male, older, or with longer usage of respirator, or with longer ICU hospitalizing time are more likely to develop ICU delirium. The incidence of ICU delirium is quite different a- mong different blood types, blood type A is more easily to occur ICU delirium than blood type O and B.

关 键 词：心脏术后 ICU谵妄 相关因素 

分 类 号：R65[医药卫生—外科学]