围手术期养心汤干预预防老年髋部骨折术后谵妄  

Preventing senile patients with postoperative delirium from hip fracture during perioperative period with the Yangxin decoction

作　　者：陈志冲 李彬 刘建卫 陈白梅 

机构地区：[1]广东省罗定市中医院,广东罗定527200

出　　处：《中医临床研究》2018年第22期114-115,共2页Clinical Journal Of Chinese Medicine

基　　金：广东省云浮市医学科学技术研究基金;编号:2015B63

摘　　要：目的:探讨围手术期养心汤干预治疗老年髋部骨折术后谵妄的疗效。方法:选取我院2015年6月-2017年5月收治的120例老年髋部骨折患者作为研究对象,将之随机分为观察组(n=60)和对照组(n=60),对照组患者仅实施围手术期对症支持治疗,观察组患者加以中药养心汤进行治疗。分别于术后24h、48h、72h三个时间节点评估患者术后谵妄的发生率,持续发病时间以及对药物不良反应情况进行比较。结果:两组患者的术后24h、48h及术后72h的谵妄总发生率比较,差异有统计学意义(P<0.05)。观察组术后的谵妄持续时间达72h以上患者发生率明显低于对照组,差异显著(P<0.05)。结论:养心汤治疗应用老年髋部骨折围术期中可以缓解和减少术后谵妄的发生时间,且具有一定的安全性,因而值得推广应用。Objective:To investigate the curative effect of the Yangxin decoction(养心汤)on delirium of elderly patients with hip fracture.Methods:120 elderly patients with hip fracture were randomly divided into the observation group and control group,60 cases in each group.The control group took perioperative symptomatic supportive treatment.The observation group was treated with the Yangxin decoction more.Results:The differences total incidence of delirium at 24h,48h and 72h after operation between groups were statistically significant(P<0.05).The incidence of delirium in the observation group with the duration of more than 72h after operation was significantly lower(P<0.05).Conclusion:The Yangxin decoction can alleviate and reduce the occurrence time of postoperative delirium during the perioperative period in elderly patients with hip fracture,is safe and worthy of promotion.

关 键 词：养心汤 老年髋部骨折 术后谵妄 

分 类 号：R323.45[医药卫生—人体解剖和组织胚胎学]