关于手术后妄想异质性的探索性研究:手术前认知查不能检测幻觉妄想风险
Shugo Yajima1, Yasukazu Nakanishi1, Ryo Andy Ogasawara1
1National Cancer Center Hospital East, Department of Urology, Chiba, Japan.
概括
手术前认知功能较好,脆弱性较小的患者在癌症手术后在妄想期间更有可能出现幻觉. 这凸显了妄想的异质性和当前查工具的局限性.
科学领域:
- 老年医学 老年医学
- 在瘤学瘤学.
- 神经科学是一个神经科学.
背景情况:
- 手术后妄想是大手术后的一个常见并发症.
- 幻觉是妄想的一个显著症状,影响患者的结果.
- 了解与幻觉相关的因素对于有针对性的干预至关重要.
研究的目的:
- 为了比较患有幻觉和没有幻觉的患者在术后妄想期间的临床特征.
- 为了确定患有幻觉风险较高的患者子组.
主要方法:
- 对1137名接受选择性泌尿癌手术的患者进行了回顾性分析.
- 使用Mini-Cog和G8分数进行手术前查.
- 妄和幻觉组之间的患者特征的比较.
主要成果:
- 68名患者出现了妄想;12名患者经历了幻觉.
- 在手术前Mini-Cog和G8得分较高的患者中,幻觉更频繁 (更好的认知功能,更少的脆弱性).
- 术前查工具无法完全识别容易产生幻觉的患者.
结论:
- 一部分患有更好的术前认知功能的患者在妄想期间容易出现幻觉.
- 这表明在术后妄想中存在异质性.
- 需要进一步的研究来了解和管理这个特定的患者群体.
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