冠状动脉搭桥术后谵妄的研究现状  

Current Status of Research on Postoperative Delirium Coronary Artery Bypass Grafting

作　　者：国欣涛[1] 魏荣伟[1] 王斌[1] GUO Xin-tao;WEI Rong-wei;WANG Bin(Department of Cardiothoracic Surgery,Tianjin Fourth Central Hospital,Tianjin 300140,China)

机构地区：[1]天津市第四中心医院心胸外科,天津300140

出　　处：《医学信息》2019年第10期53-56,共4页Journal of Medical Information

摘　　要：冠状动脉搭桥手术越来越普遍,术后谵妄成为影响冠状动脉搭桥手术预后的一大难题。术后谵妄不仅影响患者心肺功能恢复,延长术后ICU滞留时间及住院时间,增加医疗负担,并且与术后并发症发生率及死亡率的增加密切相关。本文从谵妄的定义、易感因素、发病机制、术后评估、治疗几个方面做一综述,旨在总结以往研究经验,发掘围手术期实际有效的干预措施,提高临床医生对冠状动脉搭桥术后谵妄的认识和管理水平。Coronary artery bypass grafting is becoming more and more common, and postoperative delirium has become a major problem affecting the prognosis of coronary artery bypass grafting. Postoperative delirium not only affects the recovery of cardiopulmonary function, prolongs the duration of ICU stay and hospital stay, increases the medical burden, and is closely related to the increase of postoperative complications and mortality. This article reviews the definitions of sputum, susceptibility factors, pathogenesis, postoperative evaluation, and treatment. It aims to summarize previous research experience, explore practical and effective interventions during perioperative period,improve clinicians' awareness and management of postoperative delirium coronary artery bypass grafting.

关 键 词：术后谵妄 冠状动脉搭桥手术 ICU 右美托咪定 

分 类 号：R654.2[医药卫生—外科学]