老年髋部骨折患者内固定术后谵妄发生的危险因素分析

Analysis on the Risk Factors for the Occurrence of Delirium After Internal Fixation in Elderly Patients with Hip Fracture

目的分析老年髋部骨折患者内固定术后发生谵妄的危险因素。方法158例老年髋部骨折患者根据内固定术后是否发生谵妄分为谵妄组和非谵妄组,采用单因素和多因素Logistic回归分析探讨术后谵妄的危险因素。结果单因素和多因素Logistic回归分析显示,术前CFS评分、术前血红蛋白和术中低氧是老年髋部骨折患者内固定术后发生谵妄的独立影响因素(P<0.05)。结论术前CFS评分、术前血红蛋白、术中低氧是老年髋部骨折患者内固定术后发生谵妄的独立影响因素。

Objective To analyze the risk factors for the occurrence of delirium after internal fixation in elderly patients with hip fracture.Methods A total of 158 elderly patients with hip fracture were divided into delirium group and non-delirium group according to delirium or none after internal fixation.Univariate analysis and multivariate Logistic regression analysis were used to explore the risk factors of postoperative delirium.Results Univariate and multivariate Logistic regression analysis showed that preoperative CFS score,preoperative hemoglobin and intraoperative hypoxia were independent influencing factors for the occurrence of delirium after internal fixation in elderly patients with hip fracture(P<0.05).Conclusions Preoperative CFS score,preoperative hemoglobin and intraoperative hypoxia are independent influencing factors for the occurrence of delirium after internal fixation in elderly patients with hip fracture.