摘要
[目的]研究老年人髋部骨折术后谵妄的原因和治疗方法。[方法]对27例髋部骨折术后谵妄患者进行谵妄评定,必要时使用吸氧,全身支持疗法,地西泮或氟哌啶醇进行治疗。[结果]髋部骨折术后谵妄的病因及发病机制主要为低氧血症、术后疼痛、睡眠障碍、手术应激反应、药物毒性作用、贫血脱水低蛋白血症等。利用吸氧,全身支持疗法,地西泮或氟哌啶醇进行治疗后,临床效果较满意。[结论]针对病因积极预防与治疗,能够有效降低本病发生率。
[Objective] To study the reason and treatment to senile patients phrenitis after hip fracture operation. [Method] Make evaluation to 27 cases of phrenitis after hip fracture operation;if necessary, use oxygen-absorption and supportive therapy at every pore, diazepam or droperidol, explore the reason and treatment of phrenitis. [Result] The reason and mechanism mainly are low-oxygen blood symptom, post operation pain, sleep disorder, operation stress reaction, drug toxic effect and anemia dehydrated hypoproteinemia,etc. The said method has marked clinical effect. [Conclusion] Active treatment and prevention pointing to disease reason can effectively reduce the occurrence rate of the disease.
出处
《浙江中医药大学学报》
CAS
2008年第5期631-632,共2页
Journal of Zhejiang Chinese Medical University
关键词
髋部骨折
术后谵妄
原因
治疗
hip fracture
post-operation phrenitis
reason
treatment
