摘要
目的探讨老年髋关节骨折术后谵妄发生的影响因素。方法选择2015年1月至2019年2月于本院骨科就诊并接受相应手术治疗的老年髋关节骨折患者60例作为研究对象,根据接受手术治疗后是否发生谵妄分为发生组与未发生组,每组30例。比较两组患者的定性与定量指标单因素,分析导致老年髋关节骨折患者出现术后谵妄的主要影响因素。结果两组患者基础疾病、手术方式选择及术前与术后电解质比较差异有统计学差异(P<0.05);手术时间、术中出血量、术前白蛋白、术后白蛋白、血红蛋白变化量均为导致老年髋关节骨折患者术后产生谵妄的主要定量指标单因素,两组比较差异均具有统计学意义(P<0.05)。结论导致老年髋关节骨折患者术后出现谵妄的影响因素主要有手术方式选择、基础疾病、术前白蛋白。术前与术后电解质紊乱与基础疾病是引发术后谵妄的独立危险因素,而术前白蛋白高为保护因素。
Objective To explore the influencing factors of postoperative delirium in elderly patients with hip fracture.Methods From January 2015 to February 2019,60 cases of elderly patients with hip fracture who were treated at the Department of Orthopedics of our hospital and received corresponding surgical treatment were selected as the study subjects,and according to the occurrence of delirium after surgical treatment,they were divided into the occurrence group and the non-occurrence group,with 30 cases in each group.Compared the single factor of qualitative and quantitative index of the two groups of patients,and analyzed the main factors leading to postoperative delirium in the elderly patients with hip fracture.Results There was statistically difference in basic diseases,surgical methods,preoperative and postoperative electrolytes and other indicators between the two groups(P<0.05).Operation time,intraoperative blood loss,preoperative albumin,postoperative albumin and hemoglobin changes were all the single factors leading to postoperative delirium in elderly patients with hip fracture,and the difference was statistically significant between the two groups(P<0.05).Conclusion The main influencing factors for postoperative delirium in elderly patients with hip fracture are the choice of surgical method,basic diseases and preoperative albumin.Preoperative and postoperative electrolyte disorders and underlying diseases are independent risk factors for postoperative delirium,while high level of preoperative albumin is protective factor.
作者
肖灿梁
萧戟
Xiao Canliang;Xiao Ji(Department of Orthopedics,Xiangtan Second People's Hospital,Xiangtan,Hunan,411100,China)
出处
《当代医学》
2020年第27期44-46,共3页
Contemporary Medicine
基金
湘潭市科技局科技计划项目(ZDX-SF2019020)。
关键词
老年髋关节骨折
术后谵妄
术前电解质
Senile hip fracture
Postoperative delirium
Preoperative electrolyte
