综合医院老年住院患者谵妄影响因素及临床特点分析  

Analysis on clinical features and influence factors of elderly in-patients＇ delirium in general hospitals

作　　者：周敏[1] 刘中华[1] 佘子瑜[1] 梁群娣[1] 周霭婷 

机构地区：[1]中山市人民医院神经内科528400

出　　处：《国际医药卫生导报》2014年第3期370-373,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨综合医院老年住院患者发生谵妄的相关因素及临床特点.方法 回顾性分析2011年1月至2012年12月收治的年龄≥65岁、住院期间发生谵妄的33例患者的临床资料,同期年龄≥65岁的住院患者40例为对照组,将单因素分析差异有统计学意义的指标进行logistic回归分析,研究谵妄发生的影响因素并分析临床特点.结果 研究显示,低氧、机械通气、睡眠障碍、疼痛、电解质紊乱、低血压、重症监护室治疗≥24 h是发生谵妄的主要危险因素（P＜0.05）,两种以上疾病同时存在时谵妄发生的风险增加.结论 老年患者谵妄发生风险高,综合医院老年住院患者发生谵妄与多重因素相关,同时存在2种或2种以上疾病时风险明显增加,早期识别、控制危险因素、药物治疗是治疗谵妄的有效措施,尽早处理,多数患者可以改善,临床医生对高风险患者及低觉醒型谵妄应给予重视.Objective To investigate the clinical features and relative factors of elderly inpatients＇ delirium in general hospitals.Methods A total of 73 elderly in-patients aged over 65 years from our hospital from January 2011 to December 2012 were randomly enrolled in the study.33 cases with the episode of delirium were assigned to the observation group,and 40 cases without delirium were subjected in the control group.The significant influencing factors from single factor analysis for delirium were investigated by logistic regression analysis.Results Multiple logistic repression analysis showed that the major risk factors for delirium were as follows：hypoxia,mechanical ventilation,dyssomnia,pain,electrolyte disorder,and hypotension intensive care time over 24 hours.Moreover,the risk of delirium was increased in the cases with more than one risk factor concurrently.Conclusion The elderly in-patients in general hospital are with higher risk of delirium related to multiple factors.When it comes more than one risk factor concurrently,the risk of delirium is obviously increased.Early identification,risk factor control and drug therapy are effective measures for the treatment of delirium.Clinician should attach importance to high-risk patients with delirium,because patients＇ condition can be improved by early treatment.

关 键 词：谵妄 综合医院 老年 

分 类 号：R741[医药卫生—神经病学与精神病学]