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视神经外直径与接受开放心脏手术的患者的术后妄想有关

Aynur Kaynar¹, Özgür Kömürcü², Esma Bahşi¹

¹Department of Anesthesiology and Reanimation, Samsun University Faculty of Medicine, İlkadım, TR55090, Samsun, Turkey.

BMC anesthesiology

|July 2, 2025

概括

监测视神经外直径可以帮助识别患者在开放心脏手术后面临术后 Delirium 的风险. 这种非侵入性方法可以预测这些高风险患者的痴呆症的发展.

科学领域:

神经外科神经外科
麻醉学麻醉学
关键护理医学关键护理医学

背景情况:

增加的内压力是接受开放心脏手术的患者手术后痴呆症的潜在原因.
视神经外直径 (ONSD) 是一种非侵入性方法来监测内压力.
这项研究探讨了ONSD监测,以预测术后妄想风险.

研究的目的:

为了研究视神经外直径和心脏开放手术患者的术后妄想之间的关联.
为了确定ONSD测量是否可以作为妄想发育的预测标记.

主要方法:

一项前性观察性研究,涉及90名接受开放心脏手术的患者.
在多个时间点测量了视神经外直径:麻醉前和后诱导,心肺旁路前和后,以及ICU转移后.
使用CAM-ICU (重症监护室) 尺度的混乱评估方法来评估术后妄想.

主要成果:

在90名患者中,22.2%的患者出现了术后妄想.
升高的视神经外直径 (OR,5.787;P=0.011) 与术后狂妄症有显著的相关性.
酒精使用史 (OR,6.032;P=0.044) 和EuroSCORE II (OR,3.090;P=0.003) 也与妄想有关.

结论:

视神经外直径的超声波测量与术后妄想有关.
视神经外直径的增加显示了潜在的潜力,作为心脏病开放手术患者手术后 Delirium 的预测指标.

关键词:

麻醉麻醉是一种麻醉.开放式心脏手术是什么视神经外套的直径是在手术后出现的妄想症.超声波学超声波学超声波学

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