脑胶质瘤患者术后发生谵妄的影响因素分析  

Analysis on Influencing Factors of Postoperative Delirium in Patients with Glioma

作　　者：赵亚男[1] 王连连 ZHAO Ya'nan;WANG Lianlian(Department of Neurosurgery,the First Affiliated Hospital of He'nan University of Science and Technology,Luoyang 471003,China)

机构地区：[1]河南科技大学第一附属医院神经外科,河南洛阳471003

出　　处：《临床医学工程》2021年第7期993-994,共2页Clinical Medicine & Engineering

基　　金：2019年河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20190282)。

摘　　要：目的分析脑胶质瘤患者术后发生谵妄的相关影响因素。方法回顾性分析2018年10月至2020年10月在我院行手术治疗的68例脑胶质瘤患者的临床资料,统计患者术后谵妄发生率,并分析谵妄发生的相关影响因素。结果68例脑胶质瘤患者术后发生谵妄25例,发生率为36.76%。单因素和Logistic回归分析结果显示,GCS评分<8分、肿瘤直径较长、HGB及ALB低表达是脑胶质瘤患者术后发生谵妄的影响因素(OR>1,P<0.05)。结论GCS评分<8分、肿瘤直径较长、HGB及ALB低表达是脑胶质瘤患者术后发生谵妄的影响因素,临床需重点关注以上因素,并进行全面评估和及时干预,以有效减少谵妄的发生。Objective To analyze the influencing factors of postoperative delirium in patients with glioma.Methods The clinical data of 68 glioma patients with surgical treatment in our hospital from October 2018 to October 2020 were retrospectively analyzed,the incidence of postoperative delirium was counted,and the related influencing factors of delirium were analyzed.Results Among 68 patients with glioma,25 cases had postoperative delirium,with the incidence of 36.76%.Univariate and Logistic regression analysis showed that GCS score<8 points,longer tumor diameter,and low expressions of HGB and ALB were the influencing factors of postoperative delirium in patients with glioma(OR>1,P<0.05).Conclusions GCS score<8 points,longer tumor diameter,and low expressions of HGB and ALB are the influencing factors of postoperative delirium in patients with glioma.The above clinical factors should be paid attention to,and the comprehensive evaluation and timely intervention should be taken to effectively reduce the delirium.

关 键 词：脑胶质瘤 谵妄 GCS评分 血红蛋白 白蛋白 

分 类 号：R739.41[医药卫生—肿瘤]