非体外微创冠状动脉旁路移植术后精神障碍分析

Psychonosema after off-bump coronary artery bypass surgery

目的提高非体外微创冠状动脉旁路移植术(OPCAB)后并发精神障碍的预防和治疗水平。方法回顾性分析287例接受OPCAB的患者,讨论发生精神障碍的的危险因素、临床表现及治疗方法。结果精神障碍发生率为7.23%。高龄、围术期血糖控制不良、血脂控制不良、术前脑卒终史、术后呼吸机使用时间大于24h、监护室环节等因素与术后精神障碍发生密切相关。结论维持患者围术期血糖、血脂、呼吸及循环功能的稳定,对于减少OPCAB术后精神障碍有重要意义。

Objective To improve the level of prevention and diagnosis for psychonosema after off-bump coronary artery bypass surgery. Methods Two hundred and seventy-eight patients with off-bump coronary artery bypass were retrospectively studied and the risk factors of psychonosema were analyzed. Results The incidence of psychonosema was 7.23 %. Aging, bad controll of blood sugar, bad controll of cholesterol, having preoperative medical record of brain infarction, time of mechanical ventilation being longer than 24 h, dissatisfied environments of intensive care unit were closely correlative with psychonosema. Conclusion Maintaining steady levels of blood sugar, cholesterol, and respiration and circulation function stability are important to decrease the incidence of psychonosema after OPCAB.