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| Analysis of the Incidence of Delirium and Related Factors in ICU Patients After General Anesthesia |
| Liu Junbo, Xu Hongying, Yang Limin |
| Department of Anesthesiology,The Third People's Hospital of Anyang,Anyang 455000,China |
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Abstract Objective To investigate the occurrence of delirium in intensive care unit（ICU）patients after general anesthesia,and to analyze its related risk factors,in order to provide a reference for patients to take preventive measures. Methods 156 patients after general anesthesia were selected.12 hours after the operation,the ICU Confusion Assessment Scale（CAM-ICU）was used to assess whether the patients had delirium.Multivariate Logistic regression analysis was used to explore the independent risk factors for delirium. Results Among 156 patients after general anesthesia,62 patients were confirmed to have delirium after CAM-ICU assessment,and the incidence of delirium was 39.74%;Univariate analysis showed that the delirium group had statistics in age,acute physiology and chronic health score Ⅱ（APACHE-Ⅱ）score,history of hypertension,mechanical ventilation time,length of stay in ICU,application of sedative drugs,etc.compared with the non-delirium group Difference（P<0.05）;According to multivariate Logistic regression analysis,Age,APACHE-Ⅱ score,history of hypertension,mechanical ventilation time ≥6 h,length of stay in ICU,and application of sedative drugs were all independent risk factors that affected the occurrence of delirium in ICU patients after general anesthesia（P<0.05）. Conclusion The incidence of delirium is higher in ICU patients after general anesthesia.Among them,patients with age ≥ 65 years of age,APACHE-Ⅱ score,history of hypertension,mechanical ventilation time ≥ 6 hours,ICU hospitalization time,and sedative drugs have more cases of delirium.Correct preventive measures can be taken according to the appeal factors to reduce the occurrence of delirium.
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Received: 07 June 2021
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[1] 刘伟,张雷,吴昊,等.基于视觉分析脑电图的镇静管理对体外循环心脏瓣膜置换术患者术后谵妄的影响[J].中华麻醉学杂志,2020,40(2):136-139.
[2] 孙建华,郭海凌,孙丹丹,等.重症患者谵妄评估的现状调查及影响因素分析[J].中华护理杂志,2018,53(1):17-21.
[3] 廖金花,胡蓉芳,苏丽静,等.心脏术后ICU患者谵妄危险因素分析[J].中华危重病急救医学,2019,31(2):165-166.
[4] 裴兴华,于海明,吴艳红,等.APACHEⅡ评分与老年重症肺炎需有创机械通气患者谵妄发生的关系[J].中华危重病急救医学,2017,29(9):821-824.
[5] 叶吉如,王静,郑峰,等.降钙素原对ICU谵妄的预测价值[J].中华危重病急救医学,2018,30(7):662-666.
[6] 吴传芹,朱艳萍,李国宏.ICU患者谵妄的发生率及危险因素分析[J].第三军医大学学报,2018,40(11):1038-1043. |
| [1] |
Chen Yu, Liu Jingyuan, Shi Qinchuan, Li Yanru, Liu Yumei. A Practical Study of Laihezi Decoction in the Treatment of Intestinal Flatulence after Anorectal Surgery[J]. journal1, 2022, 42(5): 1-3. |
| [2] |
. [J]. journal1, 2022, 42(5): 64-65. |
| [3] |
. [J]. journal1, 2022, 42(5): 103-105. |
| [4] |
. [J]. journal1, 2022, 42(5): 142-144. |
| [5] |
. [J]. journal1, 2022, 42(4): 93-95. |
| [6] |
. [J]. journal1, 2022, 42(4): 98-99. |
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2022, Vol. 42 
