在ICU中 Delirium:我们知道多少? 一个叙事审查
Si Bo Liu1, Hong Yu Wu1, Mei Li Duan2
1Intensive Care Unit, Dalian Municipal Central Hospital Affiliated Dalian University of Technology, Dalian, China.
在重症监护室 (ICU) 的 Delirium 是常见的,并与糟糕的结果有关. 本综述涵盖了了解其原因,生物标志物,诊断和治疗的进展,以更好地管理患者.
科学领域:
- 临界护理医学 临界护理医学
- 神经科学是一个神经科学.
- 病理生理学 病理生理学
背景情况:
- 痴呆症是重症监护室 (ICU) 患者经常出现的神经疾病.
- 它与不良结果有关,包括长时间住院,增加机械通风和更高的死亡率.
- 对于ICU妄想的确切原因和机制的了解仍然很少,这阻碍了有效的管理.
研究的目的:
- 提供关于目前对ICU Delirium的理解的叙述性回顾.
- 总结病变发生的进展,预测生物标志物,诊断和治疗策略.
- 突出未来研究和临床应用的领域.
主要方法:
- 进行了全面的文献搜索.
- 确定并审查了有关ICU痴呆症的相关研究.
- 在关键领域的进展得到了综合和描述.
主要成果:
- 在了解的多因素原因方面取得了重大进展.
- 新兴生物标志物显示出早期预测和诊断的潜力.
- 目前的治疗策略侧重于预防和管理,尽管缺乏标准化.
结论:
- 在ICU狂妄症在重症监护中提出了复杂的挑战.
- 对病原和生物标志物的进一步研究对于改善预测和预防至关重要.
- 需要标准化的诊断和治疗方法来优化患者的治疗结果.
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