颈椎术后合并精神障碍的临床分析

A Diulcal Analysis of Mental Disorder after Cervical Vertebrae Surgery

目的探讨颈椎术后合并精神障碍的相关因素。方法选择2008年9月～2011年10月在我科接受颈椎手术治疗的患者278例做临床资料分析，按术后有无精神障碍症状分为有症状组与无症状组。其中，有症状组13例，无症状组265例。结果有症状组中10例患者经治疗1周后治愈，3例患者2周后治愈。随访6～36个月均未再出现精神障碍。结论颈椎术后并发精神障碍发生机制非常复杂，可能与年龄、术前合并基础疾病、麻醉方式、手术方式、精神生理因素等有关，术后应早期诊治，加强围手术期处理，可以有效防止术后精神障碍，提高患者的生活质量。

Objective To investigate the relevant factors of postoperative dysphrenia of patients after cervi- cal surgery. Methods Two hundred and seventy-eight patients in our department from September 2008 to October 2011 were divided into symptom group and non-symptom group. In them,there were 13 patients in the symptom group,265 pa- tients were in tile non-symptom group. Results The 13 cases in patients, 10 cases were cured after treatment in 1 week, 3 cases were cured after treatment in 2 weeks. Follow-up 6 - 36 months, symptom of mental disorder did not appear again in 13 patients. Conclusion The mechanism of mental disorder after cervical vertebrae surgery is very complex, which in- volves nmltiple factors and is mainly related to age of the patients, surgical trauma, psychological factors, preoperative combined foundation diseases, and so on. Strengthening perioperative management, early diagnosis, treatment in postoper- ative, and can effectively prevention, treatment of postoperative psychonosema, and improve the quality of life of patients.