四川医学2025，Vol.46Issue(6)：645-652,8.DOI:10.16252/j.cnki.issn1004-0501-2025.06.009
脊柱术后谵妄发生现状及危险因素的Meta分析
Meta-Analysis of the Current Status and Risk Factors for Postoperative Delirium After Spinal Surgery
尹杨 1李叶萍 1王春艳 1张亚清 1胡蓉 1王木 1马燕飞1
作者信息
- 1. 电子科技大学医学院附属绵阳医院·绵阳市中心医院,四川绵阳 621000
- 折叠
摘要
Abstract
Objective To systematically evaluate the current status of the occurrence of postoperative delirium and its risk factors in patients undergoing spinal surgery.Methods Domestic and international guideline networks,databases,and clinical de-cision repositories for studies related to the incidence of postoperative delirium in the spine and the factors affecting it were system-atically searched.Meta-analysis was performed using Stata17 and RevMan 5.4 software.Results A total of 28 papers were includ-ed,and 29 risk factors were extracted,including 591633 cases,and postoperative delirium occurred in 6371 cases.The results of Meta-analysis showed that the incidence of postoperative delirium in spine was 15％[95％CI(10％,20％)],and that the inci-dence of postoperative delirium in spine was affected by the multifaceted influence of preoperative factors,intraoperative factors,and postoperative factors.Sensitivity analyses showed relatively stable Meta-analysis results.Begg's test(P=0.374)and Egger's test(P=0.002)confirmed a high publication bias in the included literature.Conclusion Early screening of high-risk populations based on identified factors and targeted preventive strategies are recommended for clinical practice.关键词
脊柱手术/谵妄/发生现状/危险因素分析/Meta分析Key words
spinal surgery/delirium/current status of occurrence/risk factor analysis/Meta-analysis分类
医药卫生引用本文复制引用
尹杨,李叶萍,王春艳,张亚清,胡蓉,王木,马燕飞..脊柱术后谵妄发生现状及危险因素的Meta分析[J].四川医学,2025,46(6):645-652,8.
