在局部麻醉下进行眼科手术后,术后妄与视力敏的关联
Yusuke Koga1, Koji Kitazawa2, Gen Shinozaki3
1Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto, 602-0841, Japan.
Japanese journal of ophthalmology
|April 30, 2025
概括
手术后妄想 (POD) 在眼科手术后很少见,但与老年,痴呆和视力不佳有关. 这些因素增加了眼睛手术后 Delirium 的风险.
科学领域:
- 眼科医生 眼科 眼科
- 老年病的医生 老年病的医生
- 神经科学是一个神经科学.
背景情况:
- 手术后妄 (POD) 是手术患者的一个重大问题.
- 在局部麻醉下进行的眼科手术通常被认为是妄的低风险.
- 了解POD发生率和风险因素对于患者安全至关重要.
研究的目的:
- 为了确定在接受眼科手术的患者中术后狂妄症 (POD) 的发病率.
- 在这个患者群体中确定与POD相关的风险因素.
主要方法:
- 对4658名接受了玻璃切除术或青光眼手术的患者 (2009-2023) 的回顾性分析.
- 多变量物流回归用于识别POD的风险因素.
- 分析的因素包括年龄,性别,手术时间,手术前最佳校正视敏度 (BCVA),痴呆症和镇静剂/催眠药的使用.
主要成果:
- POD的发生率为0.41% (19/4658名患者).
- 年龄较大 (P < 0.001),并发性痴呆症 (P < 0.001) 和两只眼睛的低BCVA前值 (P = 0.003和P = 0.001) 是显著的危险因素.
- 年龄 (OR 1.06),痴呆症 (OR 34.95) 和低BCVA前 (OR 2.00 手术眼睛,OR 1.83 同眼睛) 通过逻辑回归证实.
结论:
- 在局部麻醉下进行的眼科手术后,术后妄想会发生.
- POD的主要风险因素包括晚年,先前存在的痴呆症和手术前视力敏度降低.
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