老年髋部骨折术后谵妄的围术期影响因素分析  

Analysis of Perioperative Factors Influencing Postoperative Delirium in Elderly Hip Fractures

作　　者：黄伟 吴奎 卢山 纪召祥 涂民夫 李强[1] HUANG Wei;WU Kui;LU Shan(Department of Orthopedics,Suzhou First People's Hospital,Suzhou 234000,China)

机构地区：[1]宿州市第一人民医院骨科,宿州234000

出　　处：《国际精神病学杂志》2025年第1期262-264,293,共4页Journal Of International Psychiatry

基　　金：安徽省卫生健康委科研项目(编号:AHWJ2021b135)。

摘　　要：目的 探讨老年髋部骨折术后谵妄的围术期影响因素。方法 纳入2020年12月~2022年12月82例老年髋部骨折患者,观察术后住院期间谵妄发生情况,收集手术时间、出血量等围术期资料并进行谵妄与无谵妄患者之间的分析比较,通过多因素分析调查术后谵妄的围术期影响因素。结果 82例患者中28例术后发生谵妄;谵妄、无谵妄患者年龄、术中低氧血症、送入ICU、术前焦虑情绪、年龄、运用苯二氮?类药物、手术时间、出血量、致伤原因差异具有统计学意义(P<0.05),两组骨折类型、手术方式、性别差异无统计学意义(P>0.05);多因素分析显示,年龄>75岁、术中低氧血症、送入ICU、术前焦虑情绪、运用苯二氮?类药物是老年髋部骨折术后谵妄的围术期影响因素。结论 老年髋部骨折术后谵妄发生率较高,年龄、术中缺氧、术前焦虑等围术期因素会增加术后谵妄发生风险。Objective To explore the perioperative influences on postoperative delirium in elderly hip fractures.Methods Eighty-two elderly hip fracture patients were included from December 2020 to December 2022 to observe the occurrence of delirium during postoperative hospitalization.Perioperative data such as operation time and bleeding volume were collected and univariate analysis between patients with delirium and those without delirium was performed.Perioperative influences on postoperative delirium were investigated by multifactorial analysis.Results Postoperative delirium occurred in 28 of 82 patients.The differences between delirium,age of patients without delirium,intraoperative hypoxemia,admission to ICU,preoperative anxiety,age,use of benzodiazepines,operation time,bleeding,and cause of injury were statistically significant(P<0.05).The differences between the two groups in terms of fracture type,surgical method,and gender were not statistically significant(P>0.05).Multifactorial analysis showed that age>75 years,intraoperative hypoxemia,admission to ICU,preoperative anxiety,and the use of benzodiazepines were the perioperative influencing factors of postoperative delirium in elderly hip fractures.Conclusion The incidence of postoperative delirium is higher in elderly hip fractures,and perioperative factors such as age,intraoperative hypoxia,and preoperative anxiety increase the risk of postoperative delirium.

关 键 词：老年 髋部骨折 术后谵妄 围术期 影响因素 

分 类 号：R749.1[医药卫生—神经病学与精神病学]