老年心外手术后患者在ICU发生谵妄的相关因素研究

Study on related factors of elderly patients with delirium after cardiac surgery in ICU

目的:探讨心外手术后患者在ICU发生谵妄情况的因素,为临床医护人员采取针对性的预防和护理措施提供科学依据。方法:收治心外手术后出现谵妄老年患者26例,回顾性分析其临床资料。结果:合并重要脏器障碍、性别、手术所用时间、手术后带气管插管时间为术后精神障碍的危险因素。结论:心脏术后精神障碍的发生是包括生理机能、环境、心理因素在内的多种因素共同作用的结果。合并重要脏器功能障碍、带管时间长、手术时间长、女性可能更易患术后精神障碍,应对这些患者早期给予关注并采取综合防治措施。

Objective:To explore the related factors of elderly patients with delirium after cardiac surgery in ICU,to provide scientific basis for the prevention and nursing measures for clinical medical staff.Methods:26 elderly patients with delirium after cardiac surgery were selected,and the clinical data were retrospectively analyzed.Results:Complicated with major organ disorders,sex,operation time,postoperative tracheal intubation time were the risk factors of postoperative mental disorder.Conclusion:The occurrence of mental disorder after cardiac surgery was the result of many factors,such as physiological function,environment,psychological factors.The patients complicated with major organ disorders,long time with pipe,female sex may be more susceptible to postoperative mental disorders.We should pay attention to these patients and take comprehensive measures to prevent and cure them.