禁食禁饮时间与老年髋部骨折患者术后谵妄的相关性效果分析

Correlation Between Fasting and Drinking Time and Postoperative Delirium in Elderly Patients with Hip Fracture

目的:就禁食禁饮时间与老年髋部骨折患者的术后谵妄发生情况之间存在的相关性进行研究.方法:选取2017年5月-2019年6月60例老年髋部骨折患者,依据电脑随机分组分为对照组和观察组,各个小组内患者例数均为30例,其中,对照组采用传统禁食方案(禁食12小时,禁饮4小时),观察组采用新的禁食方案(禁食6-8小时,禁饮2-3小时),对组间的禁食禁饮不良反应发生率(低血糖发生率、饥饿发生率、焦虑发生率)、误吸发生率、术后谵妄发生率进行指标对比.结果:就观察组而言,其禁食禁饮不良反应发生率(低血糖发生率3.33%、饥饿发生率6.67%、焦虑发生率3.33%)、术后谵妄发生率(6.67%),均更低于对照组(低血糖发生率20.00%、饥饿发生率26.67%、焦虑发生率20.00%、术后谵妄发生率26.67%),P<0.05,差异性显著;观察组3.33%与对照组6.67%的误吸发生率数据差异不显著,P>0.05.结论:缩短禁食禁饮时间能够降低老年髋部骨折患者术后谵妄的发生率,且不会增加误吸风险性,应用价值肯定.

Objective:To study the correlation between fasting and drinking time and postoperative delirium in elderly patients with hip fracture.Methods:60 cases of elderly patients with hip fracture,time:in May 2017 to June 2019,according to the computer random grouping is divided into:control group,the team,each team within the cases were 30 cases of patients,among them,the control group with traditional fast solution(fasting 12 h,forbidden to drink 4 h),the team used a new fast solution(fasting,6-8 h,ban drink 2-3 h),fast ban water the incidence of adverse reactions between the group(the incidence of hypoglycaemia incidence,the incidence of hunger,anxiety),the incidence of aspiration,the incidence of postoperative delirium index comparison.Results:In terms of the team,and its abstain fasting drink incidence of adverse reactions(hypoglycemia incidence rate:3.33%,the incidence of hunger:6.61%,the incidence of anxiety:3.33%),the incidence of postoperative delirium(6.67%)were more lower than the control group(the incidence of hypoglycaemia:20.00%,the incidence of hunger:26.67%,the incidence of anxiety:20.00%,the incidence of postoperative delirium:26.67%),P<0.05,significant difference;There was no significant difference in the incidence of aspiration between the study group(3.33%)and the control group(6.67%),P>0.05.Conclusion:Shortening the time of fasting and drinking can reduce the incidence of postoperative delirium in elderly patients with hip fracture without increasing the risk of aspiration.