ICU颅脑手术患者谵妄的发生率和相关危险因素分析

Analysis of risk factors on delirium of patients undergoing craniocerebral surgery in ICU

目的:研究颅脑手术患者ICU病房谵妄的发生率并分析其相关危险因素,为临床护理提供数据参考。方法:选取颅脑手术患者240例为观察对象,统计患者谵妄发生率并分析其相关因素,作多因素Logistic回归分析。结果 :所有观察对象在术后发生谵妄67例,发生率为27.92%。既往有脑梗死、脑出血史的术后谵妄发生率均高于无脑梗死、脑出血史患者(P<0.05);ICU住院时间≥14 d患者的谵妄发生率高于住院<14 d的患者(P<0.05);经多因素Logistic回归分析可得,脑梗死、脑出血及ICU住院时间均为影响颅脑手术患者谵妄发生的危险因素。结论:脑梗死、脑出血及住院时间是影响颅脑手术患者发生谵妄的独立危险因素,应予以重视。

Objective： To study on the incidence rate and related risk factors of delirium in order to provide reference data for clinical nursing for brain surgery patients in ICU. Methods： 240 patients undergoing craniocerebral surgery were selected and surveyed the related risk factors of delirium which were analyzed by multiple Logistic regression analysis. Results： 67 cases of the total had delirium（27.92%）.The higher incidence of delirium were in patients with a history of cerebral infarction, cerebral hemorrhage（P0.05） or a longer length of stays（≥14 d） in ICU（P0.05）. The multi-factor Logistic regression analysis showed that cerebral infarction, cerebral hemorrhage and long duration in ICU were the risk factor. Conclusion： We should attach importance to the patients with cerebral infarction, cerebral hemorrhage and long duration in ICU.