老年前列腺增生患者术后谵妄的发生率比较

Comparing the incidence of postoperative delirium in elderly patients with Benign Prostatic Hyperplasia

目的:1检查使用CAM(意识状态评估方法)监测老年人术后谵妄的有效性;2理解发生谵妄的危险因素及预防、治疗方案;3理解这种心理状态的异常对术后发病率及死亡率的影响;4认知这些异常对医疗机构的经济影响;5描述泌尿外科中老年患者术后谵妄的病因学及发病率。方法:2008年1月-2014年7月我院泌尿外科住院手术患者312例,应用精神错乱评估法(CAM)评价并记录谵妄的发生率。结果:12.5%患者(39/312)出现术后谵妄,发病率随着年龄增长从5.52%升高到22.76%。结论:术后谵妄可能是多因素导致的后果,不仅和生理年龄有关,而且和其他因素如老龄、药物使用、外科手术应激、体内生化失衡、血流动力学及电解质紊乱均有关。

Objective: 1 To check the effectiveness of CAM(Conscious state Assessment Method) in monitoring posoperative delirium of the elderly patients.2To understand the risk factors of delirium and prevention and treatment.3To understand the effects of the abnormal psychological state on postoperative morbidity and mortality. 4 To understand the effects of these abnormality on the medical institution economy.5To describe the etiology and morbidity of postoperative delirium in elderly patients with urological surgery.Methods: 312 patients with benign prostatic hyperplasia were selected from January 2008 to July2014.We evaluated and recorded the incidence of delirium using insanity evaluation method(CAM) Results:12.5%(39/312)patients suffered from postoperative delirium,and the incidence increased from 5.52% to 5.52% with the age.Conclusion:Postoperative delirium may be the result of multiple factors,which is not only related to biological age,but also related to other factors,such as aging,medication use,surgical stress,an imbalance in the body biochemical,hemodynamic and electrolyte disorder.