心脏手术后的术后视觉和听觉幻觉:VAACS雨研究
Haitham Abu Khadija1, Nizar Abu Hamdeh2, Duha Najajra2
1Heart Center, Kaplan Medical Center, Pasternak St. 1 Rehovot, Affiliated with the Hebrew University, Jerusalem, Israel.
Journal of psychosomatic research
|January 21, 2026
概括
手术后幻觉影响大约10%的心脏手术患者,视觉幻觉更为常见. 风险因素和保护措施因手术类型而异,需要量身定制的患者监测和预防策略.
科学领域:
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 幻觉是心脏手术后经常被忽视的神经精神疾病并发症.
- 关于冠状动脉旁路移植 (CABG) 和膜手术后视觉和听觉幻觉的发生率和特定预测因素的数据有限.
研究的目的:
- 调查CABG和膜手术患者视觉和听觉幻觉的发生率并确定其预测因素.
- 提供数据,支持针对术后幻觉进行量身定制的监测和预防策略.
主要方法:
- 进行了一项多中心前性队列研究,涉及1332名成年患者 (997名CABG,335名门).
- 在术后7天内,每天对患者进行评估,使用精神病经历问卷.
- 考克斯的比例危险模型被用来评估视觉和听觉幻觉的预测因素.
主要成果:
- 视觉幻觉发生在11.5%的CABG患者和10.0%的门手术患者中.
- 听觉幻觉报告在CABG患者的7.0%和门手术患者的5.0%中.
- 预测因手术类型而异,包括左下心室射出分数,较长的大动脉十字时间,免疫抑制疗法,术后输血,术后通风时间长,诺亚上腺素使用和上腺素暴露.
结论:
- 大约十分之一的患者经历心脏手术后的术后幻觉.
- 视觉幻觉比听觉幻觉更频繁.
- 在CABG和门手术之间,幻觉的危险因素和保护因素有所不同,这凸显了对个性化护理的需要.
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