危重患者谵妄发生的危险因素分析

发布时间：2018-02-24 22:13

本文关键词： 危重患者谵妄危险因素　出处：《临床麻醉学杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的探讨危重患者ICU谵妄发生的危险因素。方法选择2015年1~6月我院ICU收治的年满18周岁,ICU停留时间大于24h的174例患者,采用CAM-ICU每天两次对患者进行评估,并将患者分为谵妄组与非谵妄组。采用单因素和多因素logistic回归对酗酒史等12个因素与谵妄发生之间的关系进行分析。结果 174例患者中谵妄发生率为22例(12.64%)(谵妄组),非谵妄组为152例(87.36%)。Logistic回归分析结果显示:冠心病史(OR 3.932,95%CI 1.225~12.617)、手术(OR 9.691,95%CI 2.103~44.657)、低氧血症(OR 6.595,95%CI 1.377~31.585)、苯二氮?类药(OR 7.620,95%CI 1.713~33.899)是危重患者发生ICU谵妄的危险因素(P0.05或P0.01)。结论冠心病史、手术、低氧血症、苯二氮?类药是危重患者发生ICU谵妄的独立危险因素,应及早行谵妄筛查,积极预防ICU谵妄的发生。
[Abstract]:Objective to investigate the risk factors of ICU delirium in critically ill patients. Methods 174 ICU patients aged 18 years or older who were admitted to our hospital from 2015 to June were selected and evaluated with CAM-ICU twice a day. The patients were divided into delirium group and non-delirium group. The relationship between 12 factors such as alcohol abuse and delirium was analyzed by univariate and multivariate logistic regression. Results the incidence of delirium in 22 cases (delirium) was 12.64% (delirium). Logistic regression analysis showed that the OR of coronary heart disease was 3.932 ~ 95% CI 1.225 ~ 12.617, OR 9.69195 CI 2.103 ~ 44.657, OR 6.59595 / 95 CI 1.37731.585. OR 7.62095 CI 1.713333.899) is a risk factor for ICU delirium in critically ill patients (P 0.05 or P 0.01). Conclusion the history of coronary heart disease, surgery, hypoxemia, benzodiazepine? Drug-like drugs are independent risk factors for the occurrence of ICU delirium in critically ill patients, and should be screened as early as possible to actively prevent the occurrence of ICU delirium.
【作者单位】：皖南医学院麻醉学院;皖南医学院弋矶山医院麻醉与重症医学科;
【基金】：国家级大学生创新创业训练计划项目(201410368037) 安徽省大学生创新训练计划项目(AH201410368037) 安徽省公益性技术应用研究联动计划项目(1604f0804043) 安徽省医学会危重病学分会临床科研项目(KW2013B02)
【分类号】：R459.7

【相似文献】