摘要
目的评价多科室联合早期评估、综合干预对老年患者术后谵妄的影响。方法选取2015年1月—2016年3月入住嘉善县中医院外科行择期手术的200例患者,采用随机数字表法分为试验组和对照组,各100例,试验组入院后临床科室给予评估,控制患者的谵妄危险因素,麻醉过程中给予BIS监测酥麻深度,对照组给予常规处理。比较两组患者术中用药用量、术后住院时间、谵妄发生率。结果两组患者在性别、年龄、体质量、简易智力状态检查量表(MMSE)评分、ASA分级、麻醉时间比较,差异均无统计学意义(P>0.05)。试验组患者丙泊酚、瑞芬太尼、阿曲库铵剂量均少于对照组,术后住院时间短于对照组,谵妄发生率低于对照组,差异均有统计学意义(P<0.05)。结论科室协作,早期评估、综合干预可有效预防谵妄。
Objective To evaluate the effect of combined early intervention and comprehensive intervention on postoperative delirium in elderly patients.Methods A total of 200 patients undergoing elective surgery in Jiashan Hospital of Traditional Chinese Medicine from January 2015 to March 2016 were enrolled in the study.The patients were randomly divided into two groups:the experimental group(n=100)and the control group(n=100).The experimental group after admission to hospital clinical departments to assess the risk factors of delirium control patients,treated with BIS during anesthesia depth monitoring,and the control group received routine treatment.The dosage of drug use,the time of postoperative hospitalization,and the incidence of delirium were compared between the two groups.Result Two groups of patients in age,gender,body weight,ASA score,duration of anesthesia were no statistically significant differences(P>0.05).The dosage of propofol,remifentanil and atracurium in the experimental group was less than that in the control group.The hospitalization time after operation was shorter than that in the control group,the incidence of delirium was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Department collaboration,early assessment and comprehensive intervention can effectively prevent and control delirium.
作者
丁顺才
吴振威
王碧超
DING Shun-cai;WU Zhen-wei;WANG Bi-chao(Department of Anesthesiology,Jiashan Hospital of Traditional Chinese Medicine,Jiaxing 314100,China;Department of Anesthesiology,Jiaxing First People Hospital,Jiaxing 314000,China)
出处
《中国全科医学》
CAS
北大核心
2017年第B12期170-172,共3页
Chinese General Practice
关键词
谵妄
科室协作
综合干预
老年人
脑电双频谱指数
Delirium
Department collaboration
Comprehensive intervention
Bispectral index
Elderly
作者简介
通信作者：吴振威；E-mail：844544371@qq.com
