在老年患者中评估术后狂妄症,接受了配有和不配有黑的乙氨基:一项回顾性队列研究
Maria N Muehrcke1, Russell S Blackwelder2, Erin R Weeda3
1PGY-2 Internal Medicine Pharmacy Residency, Medical University of South Carolina (MUSC), Charleston, SC, USA.
International journal of psychiatry in medicine
|August 20, 2024
概括
与单独服用乙氨基相比,在骨科手术后接受乙氨基加黑激素的老年患者中,术后妄想症的风险显著降低. 这种组合可以预防手术患者的妄想.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 外科手术的结果
背景情况:
- 手术后妄想是一种严重的担忧,具有严重的后果.
- 非阿片类药物疼痛管理和黑激素显示出在妄预防方面的潜力.
- 整形外科手术患者有 Delirium 的风险.
研究的目的:
- 为了比较经过骨科手术的老年患者中术后妄想的发生率.
- 为了评估氨基和黑色素相结合对氨基单独对妄率的影响.
主要方法:
- 对65岁以上接受骨科手术的患者的回顾性分析.
- 纳入标准:乙氨基 (≥1000毫克/天) 含有或没有黑素 (1毫克/天) 在外科手术期间 ≥48小时.
- 排除标准:先前妄,ICU停留时间超过24小时,其他妄风险因素. 主要结局:积极的CAM-ICU得分.
主要成果:
- 包括134名患者 (66名乙氨基+黑色素,68名单独使用乙氨基).
- 狂妄症的发生率与组合显著降低 (5%对25%,P=0.001).
- 在30天的再入院没有差异;在组合治疗中,住院时间更长 (5 vs. 4天,P=0.04).
结论:
- 乙氨基加黑激素显著降低了老年骨科手术患者的妄想风险.
- 组合疗法是预防术后痴呆症的一个有希望的策略.
- 需要进一步的前性试验来证实这些发现.
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