摘要
目的分析腹部术后患者发生重症监护室(ICU)谵妄的危险因素。方法选取2019年8月~2023年8月江苏省人民医院普通外科收治的273例腹部术后患者为研究对象,所有患者均于腹部术后首次入ICU。采用ICU意识模糊评估法(CAM-ICU)对患者的谵妄情况进行评估,并根据是否发生谵妄将273例ICU腹部术后患者分为谵妄组(n=52)和非谵妄组(n=221)。分析腹部术后患者发生ICU谵妄的危险因素。结果单因素分析结果显示,年龄、高血压情况、手术时机、感染情况、睡眠障碍及BUN水平均与腹部术后患者发生ICU谵妄可能有关(P<0.05)。多因素分析结果显示,年龄>65岁、合并高血压、急诊手术及睡眠障碍均是腹部术后患者发生ICU谵妄的独立无为危险因素(P<0.05)。结论针对腹部手术患者根据易患因素进行危险分层,可能有助于合理配置预防相关的医疗资源,减少谵妄的发生。
Objective This study aimed to identify the risk factors associated with delirium in the intensive care unit(ICU)among patients following abdominal surgery.Methods A total of 273 patients who underwent abdominal surgery and were admitted to the ICU at Jiangsu Provincial People's Hospital from August 2019 to August 2023 were included.Delirium was assessed using the Confusion Assessment Method for the ICU(CAM-ICU).Patients were categorized into a delirium group(n=52)and a non-delirium group(n=221)based on the occurrence of delirium.Univariate analysis was performed to identify potential risk factors,and a multivariate analysis was conducted to determine independent risk factors for postoperative delirium in the ICU.Results Univariate analysis indicated that age,hypertension,timing of surgery,infection status,sleep disorders,and blood urea nitrogen(BUN)levels were significantly associated with the occurrence of delirium in post-abdominal surgery patients(P<0.05).Multivariate analysis revealed that age over 65 years,hypertension,emergency surgery,and sleep disorders are independent risk factors for delirium in the ICU following abdominal surgery(P<0.05).Conclusion Risk stratification based on these factors may facilitate the allocation of preventive medical resources and reduce the incidence of delirium in patients undergoing abdominal surgery.
作者
任静
葛万里
张宇星
王蓉
Ren Jing;Ge Wanli;Zhang Yuxing(Department of General Surgery,Jiangsu Province Hospital,Nanjing 210029,China)
出处
《中华保健医学杂志》
2024年第5期635-637,共3页
Chinese Journal of Health Care and Medicine
基金
江苏省卫生健康委员会老年健康科研项目(LKM2022002)。
关键词
重症监护室
谵妄
腹部手术
危险因素
Intensive care unit
Delirium
Abdominal surgery
Risk factors
