髋部骨折老年患者发生严重术后谵妄的多因素分析

发布时间：2018-04-25 15:10

本文选题：老年患者 + 髋部骨折　；参考：《中国微创外科杂志》2017年01期

【摘要】：目的探讨髋部骨折老年患者发生严重术后谵妄的危险因素。方法回顾性分析我院骨科2005年1月~2014年12月572例髋部骨折老年患者接受内固定手术的临床资料,对性别、年龄、术前内科合并症、术前卧床时间、手术方式、麻醉方式、手术时间和术中出血量进行单因素分析,多因素logistic回归模型分析髋部骨折老年患者发生严重术后谵妄的危险因素。结果 25例发生严重术后谵妄(25/572,发生率4.4%)。单因素分析结果显示年龄和麻醉方式有统计学差异(P0.05);多因素logistic回归分析显示年龄(OR=1.12,95%CI:1.05~1.19,P=0.001)和全身麻醉(OR=5.03,95%CI:2.10~12.04,P=0.000)是髋部骨折老年患者发生严重术后谵妄的独立危险因素。结论年龄和全身麻醉是髋部骨折老年患者发生严重术后谵妄的独立危险因素。
[Abstract]:Objective to investigate the risk factors of severe postoperative delirium in elderly patients with hip fracture. Methods the clinical data of 572 elderly patients with hip fracture received internal fixation from January 2005 to December 2014 were retrospectively analyzed. The time of operation and blood loss during operation were analyzed by univariate analysis and multivariate logistic regression model was used to analyze the risk factors of severe postoperative delirium in elderly patients with hip fracture. Results 25 cases of severe postoperative delirium occurred 25 / 572, the incidence was 4.4%. Univariate analysis showed that there were significant differences in age and anaesthesia style (P 0.05), and multivariate logistic regression analysis showed that age was 1.1295% (CI: 1.05U 1.19 P0. 001) and general anaesthesia was 5.03% (9.05% 12.04%) as an independent risk factor for severe postoperative delirium in elderly patients with hip fracture. Conclusion Age and general anesthesia are independent risk factors for severe postoperative delirium in elderly patients with hip fracture.
【作者单位】：北京大学第三医院麻醉科;北京大学第三医院临床流行病学研究中心;北京大学第三医院骨科;
【分类号】：R687.3

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