腹股沟疝无张力修补术后谵妄的相关因素分析及护理

Analysis on correlation factors and nursing of postoperative delirium in elderly patients with tension -free inguinal hernia repairing

目的分析老年患者腹股沟疝无张力修补术后发生谵妄的相关因素，探讨相应的护理措施。方法对185例硬膜外麻醉下行腹股沟疝无张力修补术老年患者的资料分组进行单因素分析和多因素logistic回归分析。结果24例患者发生谵妄，为谵妄组，161例没有发生谵妄，为非谵妄组。谵妄组患者年龄大，手术时间长，术后伤口疼痛程度高，而且术后腰痛、原有心肺脑部病、排尿困难、便秘、术后使用止痛药等的发生率明显高于非谵妄组，有统计学意义（P〈0．01—0．05）。结论老年患者腹股沟疝无张力修补术后发生谵妄与年龄、手术时间、术后腰痛、心脏疾病、肺部疾病、脑部疾病、排尿困难、便秘、术后使用止痛药、术后伤口痛程度等有相关性。

Objective To analyze the correlation factors and to explore the care measures of postoperative delirium in elderly patients with tension - free inguinal hernia repairing. Methods 185 cases of elderly patients with tension - free inguinal hernia repairing were analyzed by single - factor analysis and multi - factor logistic regression analysis. Results 24 cases of patients with delirium was delirium group, 161 cases who had not delirium was non - delirium group. The average age of delirium group, surgical trine, the degree of postoperative wound pain, and the incidence of lumbodynia, the original brain heart and lung disease, dysuria, constipation, postoperative use of analgesics were significantly higher than those of non - delirium group （P 〈 0. 01 - 0. 05） . Conclusions The occurrence of postoperative delirium in elderly patients with tension - free inguinal hernia repairing is correlated with age, operative time, postoperative pain, heart disease, lung disease, brain disease, dysuria, constipation, postoperative use of analgesics, degree of postoperative wound pain.