文章摘要

神经外科术后谵妄的危险因素

作者: 1吕婧, 1何青青, 2郝铮, 2王跃彬
1 山西医科大学第二临床医学院,太原 030000
2 山西医科大学第二医院神经外科,太原 030000
通讯: 王跃彬 Email: 2594518974@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.04.036

摘要

谵妄是指在多种因素作用下发生的以意识清晰程度降低、认知功能损害和感、知觉障碍为主的急性脑功能障碍。谵妄可延长机械通气时间、神经外科重症监护病房(neurosurgery intensive care unit,NICU)住院时间和总住院时间,增加再入院率和病死率,严重降低患者出院后的生活质量。积极防治患者术后谵妄一直是神经外科医护人员的重点工作。早期识别神经外科患者术后谵妄的危险因素,积极采取防治措施,可降低谵妄的发生率,减轻谵妄对患者造成的危害。
关键词: 神经外科;手术;谵妄;危险因素

Risk factors for delirium after neurosurgery

Authors: 1LÜ Jing, 1HE Qingqing, 2HAO Zheng, 2WANG Yuebin
1 Second Clinical Medical College, Shanxi Medical University, Taiyuan 030000, China
2 Department of Neurosurgery, Second Hospital, Shanxi Medical University, Taiyuan 030000, China

CorrespondingAuthor: WANG Yuebin Email: 2594518974@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.04.036

Abstract

Delirium refers to an acute brain dysfunction which occurs with many factors, mainly with the decrease of consciousness clarity, cognitive impairment and perceptual disturbance. Delirium can prolong mechanical ventilation time, neurosurgical intensive care unit (NICU) hospitalization time and total hospitalization time, increase rehospitalization rate and mortality rate, and seriously reduce the life quality of patients after discharge. Active prevention and treatment of postoperative delirium have always been the work focus of neurosurgical medical staff. Early identification of the risk factors of postoperative delirium in neurosurgery patients, active prevention, and treatment measures should be taken so as to decrease the incidence of delirium and reduce the harm caused by delirium to patients.
Keywords: neurosurgery; surgery; delirium; risk factors

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