中国当代医药2019，Vol.26Issue(11)：178-181,4.
高血压脑出血患者术后发生谵妄的危险因素及预后的调查研究
Risk factors and prognosis of postoperative delirium in patients with intracerebral hemorrhage by hypertensive
摘要
Abstract
Objective To investigate the risk factors and prognosis of postoperative delirium in patients with hypertensive intracerebralhemorrhage. Methods A total of 130 patients with hypertensive intracerebral hemorrhage who were treated in our hospital from May 2017 to August 2018 were selected as the research objects. The occurrence, risk factors and prognosis of delirium after hypertensive intracerebral hemorrhage were analyzed by self-designed questionnaire. Results A total of 130 patients, 37 patients showed postoperative delirium, the incidence of delirium was 28.46％. The results of univariate analysis indicated that there were statistically significant differences in age, blood loss, operation time, postoperative Glasgow coma index score (GCS), mechanical ventilation and postoperative hypoxemia between patients with and without delirium hypertensive cerebral hemorrhage (P<0.05). Multivariate Logistic analysis indicated that age (β=-0.854, OR=2.342, P<0.05), blood loss (β=-0.752, OR=1.756, P<0.05), operative time (β=-0.672, OR=1.526, P<0.05), postoperative GCS score (β=-0.558, OR=3.514, P<0.05) and postoperative hypoxemia (β=-0.652, OR=4.514, P<0.05) were risk factors for postoperative delirium in patients with hypertensive intracerebral hemorrhage. Mechanical ventilation was the protective factor for postoperative delirium in patients with hypertensive intracerebral hemorrhage (β=0.614, OR=0.862, P<0.05). Twenty-one patients survived 90 days after surgery for delirium hypertensive intracerebral hemorrhage, the survival rate was 56.76％, which was significantly lower than that of 81 patients without postoperative delirium hypertensive cerebral hemorrhage (87.10％), and the difference was statistically significant (P<0.05). Conclusion The occurrence of delirium after hypertensive intracerebral hemorrhage is influenced by many factors and is closely related to the survival rate of patients after operation.关键词
高血压/脑出血/谵妄/高危因素/预后Key words
Hypertension/Cerebral hemorrhage/Delirium/Influencing factors/Prognosis分类
医药卫生引用本文复制引用
岑伟培,梁瑞宁,郑雪梅,李仕卓,朱义团..高血压脑出血患者术后发生谵妄的危险因素及预后的调查研究[J].中国当代医药,2019,26(11):178-181,4.基金项目
广东省江门市第十二批医疗卫生科技计划项目(2017A2062) （2017A2062）
