卧卧时头部方向对经手术后痴呆症的影响,对于接受胸脊椎手术的老年患者:随机对照试验的研究方案
Jixiang Zhu1,2, Yongzhuang Chen1, Yangyang Chen2,3
1The Yancheng Clinical College of Xuzhou Medical University, The First People's Hospital of Yancheng, Yancheng, Jiangsu, China.
BMJ open
|December 31, 2024
概括
在易受手术期间的头部位置会影响老年患者的手术后妄 (POD). 这项研究调查了头部中心或偏差是否会影响经过胸脊椎手术的老年人中POD发生率和严重程度.
科学领域:
- 神经外科 神经外科
- 老年医学 老年医学
- 麻醉学 麻醉学
背景情况:
- 倾斜的位置会影响大脑的血液流动,可能会影响大脑的氧化.
- 由于大脑输液受损,老年患者容易患上术后妄想症 (POD).
- 在老年人中,俯卧时头部方向对POD的影响还未得到充分研究.
研究的目的:
- 为了评估头部定位在倾斜的位置对POD发病率的影响,在接受胸脊椎手术的老年患者中.
主要方法:
- 一个单中心,随机,单盲试验,涉及500名年龄≥65岁的患者,接受胸脊椎手术.
- 参与者被随机分配到一个中心或偏离头部位置,而倾斜.
- 主要结局: POD发生率通过3分钟的诊断面试评估混评估方法 (3D-CAM) 评估,直到术后的第5天.
主要成果:
- 当研究完成并可获得结果后,该部分应填写.
结论:
- 当研究完成并可以得出结论后,该部分将被填写.
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