患儿术后谵妄的临床研究进展  

Clinical research progress on postoperative delirium in pediatric patients

作　　者：孙可[1] 王庚[1] 郭向阳[2] SUN Ke;WANG Geng;GUO Xiangyang(Department of Anestheisiology,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]首都医科大学附属北京积水潭医院麻醉科,100035 [2]北京大学第三医院麻醉科

出　　处：《临床麻醉学杂志》2025年第1期94-97,共4页Journal of Clinical Anesthesiology

摘　　要：患儿术后谵妄(POD)发病率可高达80%,是术后严重并发症之一,与多项不良事件密切相关,甚至会造成患儿远期认知功能受损。目前对患儿POD研究关注度相对不足,故而识别和防治难度较大。高效可靠的评估工具是当前筛查患儿POD的主要手段,但仍需与苏醒期躁动、术后不良行为改变等仔细鉴别。患儿POD的潜在危险因素有很多,与麻醉和手术相关的诱发因素叠加患儿的谵妄易感性共同导致了POD的发生。掌握患儿POD特点、对可能的危险因素加以避免或提早干预是制定集束化防治策略、改善预后的前提。Postoperative delirium(POD)in pediatric patients,with incidence of up to 80%,is one of the serious complications after surgery,closely related to multiple adverse events,and may even cause long-term cognitive impairment.The research on POD in pediatric patients is currently insufficient,thus making it difficult to identify and prevent.To use some efficient and reliable assessment tools is still the main method for screening POD of pediatric patients,but it is necessary to distinguish carefully from emergence agitation and negative postoperative behavioral changes.There are many potential risk factors for POD in pediatric patients.The triggering factors related to anesthesia and surgery,combined with the susceptibility of delirium,jointly determine the occurrence of POD in pediatric patients.Mastering the characteristics of POD in pediatric patients and avoiding or intervening early on potential risk factors are prerequisites for developing bundled prevention and treatment strategies and improving prognosis.

关 键 词：术后谵妄 苏醒期谵妄 儿童 麻醉 

分 类 号：R47[医药卫生—护理学]