132例老年期谵妄患者临床分析

发布时间：2018-03-18 02:16

本文选题：老年　切入点：谵妄　出处：《医学研究生学报》2015年02期 　论文类型：期刊论文

【摘要】：目的谵妄是由多种因素引起的急性器质性脑病综合征。文中探讨老年期谵妄的临床特征、治疗及预后。方法回顾性分析南京军区南京总医院干部病区2011年1月至2013年1月诊断为谵妄的132例老年患者临床资料,按照临床结局分成有效组(痊愈与好转)和死亡组,对患者一般情况、病因、临床特征、治疗等进行总结分析。结果 132例患者中男73例,女59例;年龄65~97岁,平均(71.4±8.3)岁。所有患者均有不同程度意识障碍。组间比较发现,有效组与死亡组患者在年龄、谵妄持续时间、病程中是否昏迷、是否重症感染、是否气管插管和(或)气管切开、是否合并有多种基础疾病等方面的差异有统计学意义(P0.05)。多因素Logistic回归分析显示,病程中出现昏迷、气管插管和(或)切开、文化程度、体温、合并重症感染是本研究中老年期谵妄患者的独立危险因素(P0.05)。结论老年期谵妄治疗过程中应注意患者体温和对感染的控制。针对基础疾病的有效治疗和预防有利于改善患者预后。
[Abstract]:The purpose of delirium is caused by a variety of factors of acute organic brain syndrome. To explore the clinical features of senile delirium in the treatment and prognosis. Methods a retrospective analysis of Nanjing General Hospital of Nanjing military area from January 2011 to January 2013 for the cadres diagnosis of delirium in 132 elderly patients with clinical data, according to the clinical outcome were divided into effective group (cured with the better) and the death group of patients in general, etiology, clinical features, treatment were analyzed. Results in 132 cases, 73 cases were male, 59 were female; aged 65~97 years old, the average (71.4 + 8.3) years old. All patients had different degree of consciousness disorder. Comparison between groups, between the two groups the death of patients in age, duration of delirium or coma, whether in the course of disease, severe infection, tracheal intubation and tracheotomy (or), with a variety of basic diseases and the difference was statistically significant (P0.05). Logistic regression analysis showed that, in the course of coma, tracheal intubation and incision (or), education level, body temperature, complicated with severe infection were independent risk factors of elderly patients with delirium in this study (P0.05). The patients should pay attention to the temperature and infection control conclusion senile delirium in the treatment process for effective. The treatment and prevention of disease and improve the prognosis of patients.

【作者单位】：南京军区南京总医院保健办公室;南京医科大学第一附属医院呼吸科;南京军区南京总医院干部保健科;
【分类号】：R749.1

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