全麻下脊柱手术患者术后躁动性谵妄发生的危险因素  

Risk factors of restless delirium after spinal surgery under general anesthesia

作　　者：杨帆[1] 蒋鹏飞[1] Yang Fan;Jiang Pengfei(Department of Anesthesiology,Suining Central Hospital,Sichuan Suining 629000)

机构地区：[1]遂宁市中心医院麻醉科

出　　处：《中国社区医师》2019年第23期103-104,共2页Chinese Community Doctors

摘　　要：目的:筛选全身麻醉下脊柱手术患者术后躁动性谵妄的危险因素。方法:收治全麻脊柱手术患者732例,根据术后躁动性谵妄发生情况,分为术后躁动性谵妄组(PHTD组)和非术后躁动性谵妄组(非PHTD组)。将组间差异有统计学意义的因素进行logistic回归分析,筛选发生脊柱患者术后躁动性谵妄的危险因素。结果:71例患者术后发生躁动性谵妄,发生率为9.7%。logistic回归分析结显示:高龄、术中大量失血、术中低血压是发生术后躁动性谵妄的独立危险因素(P<0.05)。结论:全麻脊柱手术患者术后躁动性谵妄的可能危险因素有高龄、术中大量失血、术中低血压。Objective:To investigate the risk factors for postoperative hyperactive-type delirium(PHTD)in patients undergoing spine operation under general anesthesia.Methods:732 patients undergoing spine were selected,they were divided into the PHTD group and the non-PHTD group according to whether PHTD developed after operation.The risk factors of which values were less than 0.05 would enter the multivariate logistic regression to stratify the risk factors for PHTD.Results:71 patients developed PHTDthe results of logistic regression analysis showed that aged patient,large amount of blood loss,intraoperative hypotension were risk factors for independent PHTD(P<0.05).Conclusion:Age,large amount of blood loss,intraoperative hypotension could be risk factors for PHTD in patients undergoing spine operation under General anesthesia.

关 键 词：躁动性谵妄 危险因素 脊柱手术 

分 类 号：R614[医药卫生—麻醉学]