儿童谵妄筛查与评估工具的研究现状

Research status of screening and evaluation tool in pediatric delirium

儿童谵妄的早期识别和干预非常重要。目前推荐使用的主观筛查与评估工具是儿科ICU谵妄诊断的意识评估法和康奈尔儿童谵妄量表,另外也可以根据患儿年龄、麻醉、药物使用等情况进行选择。对于谵妄的客观评估工具包括生物学标志物、影像学检查、脑电图等也进行了探索。其中脑电图对于谵妄患儿具有一定的特征表现,并与谵妄的发生具有一定相关性。未来谵妄的研究中量化脑电图的应用以及多模态评估、预测模型的建立均需要进一步探索。

Early identification and intervention is very important in pediatric delirium.The pediatric confusion assessment method for the ICU and the cornell assessment of pediatric delirium are recommended to screen and evaluate pediatric delirium.We can also choose the appropriate tool according to children′s age,anesthesia status and drug use.Objective evaluation tool has been investigated as well,including biomarkers,imaging studies,electroencephalogram and so on.Electroencephalogram has some typical features,which is related to the occurrence of delirium.For the further research,we should look deep into quantitative electroencephalogram and multimodality model to evaluate and predict delirium.