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美国老年医学会发布防治老年患者术后谵妄临床指南解读 被引量:21

Clinical practice guideline for postoperative delirium in older adults
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摘要 谵妄是老年患者术后最常出现并能够危及生命的严重并发症,年龄65岁及以上患者术后谵妄的发生率为5%-50%.谵妄的发生常导致一系列不良临床结局,包括严重术后并发症、延长住院日、延迟康复、躯体及认知功能下降,甚至死亡.在美国,每年由谵妄造成的医疗花费高达1640亿美元.而谵妄是可预防的,故谵妄的干预成为老年患者术后管理的重要内容.美国老年医学会近期发布了防治老年患者术后谵妄的临床指南,提供了有临床证据支持的有效的谵妄干预措施,现介绍如下.
出处 《中华老年医学杂志》 CAS CSCD 北大核心 2015年第1期1-2,共2页 Chinese Journal of Geriatrics
关键词 谵妄 指南 手术后并发症 Delirium Guidebooks Postoperative, Complicationss
作者简介 通信作者:刘晓红,Email:Email:xhliu41@sina.com
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参考文献3

  • 1Inouye SK,Westendorp RG, Saczynski JS. Delirium in elderly people[J]. Lancet,2014,383:911- 922.
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同被引文献217

  • 1程晓雪,石萍,刘春兰.急诊创伤患者亚谵妄发生预测模型的构建及验证研究[J].中华急危重症护理杂志,2021(6):485-490. 被引量:16
  • 2郑磊磊,王也玲,李惠春.医院焦虑抑郁量表在综合性医院中的应用[J].上海精神医学,2003,15(5):264-266. 被引量:265
  • 3彭昊,梅运清.心脏外科术后谵妄[J].外科研究与新技术,2014,3(2):142-144. 被引量:3
  • 4欧洲泌尿学会更新前列腺癌诊疗指南[J].临床泌尿外科杂志,2006,21(5):399-400. 被引量:13
  • 5Leung JM,Sands LP,Lim E,et al.Does preoperative risk for delirium moderate the effects of postoperative pain and opiate use on postoperative delirium. American Journal of Geriatric Psychiatry . 2013
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  • 7Schlitzkus LL, Melin AA, Johanning JM, et al. Perioperative management of elderly patients[J]. Surg Clin North Am, 2015, 95(2):391-415.
  • 8Chow WB, Rosenthal RA, Merkow RP, et al. American College of Surgeons National Surgical Quality Improvement Program; American Geriatrics Society. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society[J]. J Am Coll Surg, 2012, 215 (4):453- 466.
  • 9Kristensen SDt KnuutiJ, Saraste A, et al. 2014 ESC/ESA guidelines on non-cardiac surgery: cardiovascular assessment and management: The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society ofAnaesthesiology (ESA)[J]. Eur Heart J, 2014, 35(35): 2383-2431.
  • 10Ambler GK, Brooks DE, A1Zuhir N, et al. Effect of frailty on short- and mid-term outcomes in vascular surgical patients [J]. Br J Surg, 2015, 102(6):638-645.

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