骨科老年患者术后谵妄的病因分析与防治

Prevention and pathogeny analysis of elderly patients with postoperative delirium in department of orthopedics

目的:探讨骨科老年患者术后谵妄的病因及防治方法。方法:收治骨科术后谵妄老年患者37例,给予术中监测、术后针对性治疗及抗精神病药物。结果:痊愈24例,显著进步8例,好转5例。结论:应急、药物、年龄等被认为是谵妄的危险因素,针对性治疗及抗精神病药物可以降低谵妄的发生率及提高治愈率。

Objective:To investigate the prevention methods and pathogeny of elderly patients with postoperative delirium in department of orthopedics.Methods:37 cases of elderly patients with postoperative delirium in department of orthopedics were given intraoperative monitoring and postoperative specific therapy and antipsychotic drugs.Results:24 cases were cured,8 cases were improved significantly and 5 cases were improved.Conclusion:Emergency,drugs and age were found to be risk factors for delirium,specific therapy and antipsychotic drugs could reduce the incidence rate of delirium and improve the cure rate.