术后谵妄评估工具在临床中的应用进展  

Application progress of postoperative delirium assessment tools in clinical settings

作　　者：苏昊 陈培杰 黄朝祥 王宇泽 陈泓霓 马欣妍 张雪琴[1] SU Hao;CHEN Peijie;HUANG Zhaoxiang;WANG Yuze;CHEN Hongni;MA Xinyan;ZHANG Xueqin(Department of Applied Psychology,School of Health Management,Guangzhou Medical University,Guangzhou 511436,China)

机构地区：[1]广州医科大学卫生管理学院应用心理学系

出　　处：《临床麻醉学杂志》2025年第2期199-203,共5页Journal of Clinical Anesthesiology

摘　　要：术后谵妄(POD)是一种在术后7 d内出现的急性脑功能障碍综合征,表现为急性波动性注意力障碍和认知功能、意识水平异常。POD影响患者预后,且可能增加死亡率与医疗费用,带来沉重的家庭负担。谵妄评估工具是早期识别POD,改善患者不良预后的重要手段。本文综述在临床中应用的POD评估工具以及各自的优缺点,分析4种常见POD评估工具的特点以及应用,分析不同评估工具的适用情况与实际性能,以便临床工作者能够更加迅速、准确地利用谵妄评估工具识别POD,通过医疗手段及时进行治疗,改善POD患者的不良预后。Postoperative delirium(POD)is an acute brain dysfunction syndrome that occurs within 7 days after surgery,characterized by acute fluctuating attention deficits and abnormalities in cognitive function and consciousness level.POD affects patients outcomes and may increase mortality and medical costs,which brings a heavy burden to families.Delirium assessment tools are crucial for early identification of POD and improving patients outcomes.This article reviews the delirium assessment tools used in clinical settings,highlighting their advantages and disadvantages.It analyzes the characteristics of four common POD assessment tools and their applicability and performance in practice,aiming to help clinicians quickly and accurately identify POD using delirium assessment tools,provide timely treatment,and improve the adverse prognosis of POD patients.

关 键 词：术后谵妄 评估工具 临床环境 应用进展 

分 类 号：R614[医药卫生—麻醉学]