中国当代医药2025，Vol.32Issue(18)：135-138,4.DOI:10.3969/j.issn.1674-4721.2025.18.28
重症监护室脑出血术后患者发生谵妄的相关影响因素分析
Analysis of influencing factors related to the occurrence of delirium in patients after cerebral hemorrhage surgery in the intensive care unit
摘要
Abstract
Objective To explore the related factors influencing the occurrence of delirium in patients after cerebral hemorrhage surgery in the intensive care unit(ICU).Methods A retrospective analysis was conducted on the data of 100 patients with cerebral hemorrhage admitted to the ICU of Ji'an Central People's Hospital from July 2022 to May 2024.They were divided into the delirium group and the non-delirium group based on whether delirium occurred.General information of the patients was collected,including gender,age,body mass index,operation time,amount of cerebral hemorrhage,history of coronary heart disease,history of atrial fibrillation,history of smoking and drinking,history of hypertension,history of diabetes,duration of mechanical ventilation,and whether hypoxemia occurs after surgery,etc.Univariate and multivariate analyses were conducted on the occurrence of delirium in patients.Results Among the 100 patients,a total of 25 cases developed delirium,with an incidence rate of 25.00％(25/100).The results of univariate analysis showed that there was no statistically significant difference in gender,body mass index,history of coronary heart disease,history of atrial fibrillation,and history of smoking and drinking between the two groups(P＞0.05).There were statistically significant differences between the two groups in terms of age,operation time,amount of cerebral hemorrhage,history of hypertension,history of diabetes,duration of mechanical ventilation,and whether hypoxemia occurs after surgery(P＜0.05).The results of multivariate logistic regression analysis showed that age ≥60 years old([3=1.671,OR=5.315,95％CI:1.897-14.892),operation time ≥3 h(β=1.877,OR=6.536,95％CI:2.432-17.567),cerebral hemorrhage volume ≥20 ml(β=1.881,OR=6.556,95％CI:2.446-17.571),history of hypertension(β=1.889,OR=6.612,95％CI:2.413-18.120),history of diabetes(β=1.253,OR=3.500.95％CI:1.366-8.969),mechanical ventilation time ≥48 h(β=1.520,OR=4.571,95％CI:1.751-11.935)and postoperative hypoxemia(β=1.306,OR=3.692,95％CI:1.403-9.714)were independent risk factors affecting the occurrence of delirium in postoperative patients with cerebral hemorrhage in the ICU(P＜0.05).Conclusion The incidence of delirium in patients after ICU cerebral hemorrhage surgery is relatively high,which is closely related to age,operation time,volume of cerebral hemorrhage,history of hypertension,history of diabetes,duration of mechanical ventilation,and whether hypoxemia occurs after surgery.Based on this,corresponding protective countermeasures are carried out clinically to minimize the occurrence of delirium to the greatest extent.关键词
脑出血/重症监护室/谵妄/相关因素/防护对策Key words
Cerebral hemorrhage/Intensive care unit/Delirium/Related factors/Protective measures分类
医药卫生引用本文复制引用
王丹,王欢..重症监护室脑出血术后患者发生谵妄的相关影响因素分析[J].中国当代医药,2025,32(18):135-138,4.基金项目
江西省卫生健康委科技计划项目(202312395). （202312395）
