心脏手术患者手术后狂妄症的危险因素
1Yeungnam University Medical Center, Daegu, Republic of Korea.
Science progress
|September 4, 2024
概括
术后妄想在心脏手术患者中很常见,发生在ICU和普通病房. 关键的危险因素包括炎症,睡眠障碍和持续的置换疗法,需要持续监测.
科学领域:
- 关键护理医学 关键护理医学
- 心血管外科心血管外科
- 神经科学是一个神经科学.
背景情况:
- 经过心脏手术后进入重症监护室 (ICU) 的患者面临 Delirium 的高发病率.
- 这种人群中的妄想是多因素的,受患者特征,疾病严重程度,治疗干预和护理的影响.
研究的目的:
- 为了确定成人心脏手术患者中术后痴呆症的发生率.
- 为了确定与这种患者队列中痴呆症发展相关的重大风险因素.
主要方法:
- 研究了一组195名在Y大学医院接受心脏手术的成年患者.
- 数据收集包括患者的人口统计,疾病状况,治疗细节和护理相关因素.
主要成果:
- 手术后狂妄的发生率为34.4% (195名患者中有67名).
- 痴呆症发生在53.7%的ICU病例和46.3%的普通病房.
- 确定的重大风险因素包括术后炎症,持续的置换疗法,睡眠障碍,晚年,更长的ICU停留时间,中风史,导管保留,APACHE II评分和手术持续时间.
结论:
- 手术后妄想是心脏手术后的一种严重并发症,在重症监护室住院期间和转移到普通病房后都会出现.
- 即使在患者转移后,与ICU相关的因素仍然会影响妄的发生率,这凸显了持续监测的必要性.
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