老年髋关节置换术患者术后认知功能障碍的临床特点及影响因素分析

发布时间：2018-06-03 11:20

本文选题：术后认知功能障碍 + 高龄　；参考：《中风与神经疾病杂志》2017年06期

【摘要】：目的研究65岁以上行髋关节置换术患者术后认知功能障碍的临床特点及影响因素。方法 101例患者在术前1 d~3 d和术后7 d进行MMSE量表测定,收集患者的一般资料、年龄、性别、受教育时间、既往病史、手术时间、失血量、麻醉方式。采用多因素Logistic逐步回归分析POCD发生的影响因素,P0.05为差异有统计学意义。结果 101例患者发生POCD者16例,发生率为15.84%,POCD组患者的年龄显著大于非POCD组(OR=1.238,95%CI 1.103~1.248,P0.05),POCD组中全麻患者显著多于非POCD组(OR=1.215,95%CI 1.003~8.72,P0.05)。结论临床工作中对于高龄、全麻的髋部骨折患者应该多关注术后认知功能变化,及时进行相关量表筛查,尽早发现、尽早干预。
[Abstract]:Objective to study the clinical features and influencing factors of cognitive dysfunction in patients over 65 years old undergoing hip arthroplasty. Methods 101 patients were measured with MMSE scale 1 day before operation and 7 days after operation. The general data, age, sex, education time, history, operation time, blood loss and anaesthesia were collected. Multivariate Logistic stepwise regression analysis was used to analyze the influencing factors of POCD (P0.05). Results there were 16 patients with POCD in 101 patients. The age of the patients in the POCD group was significantly higher than that in the non-POCD group (CI 1.23895 CI 1.1031.248P0.05P0.05). The age of the patients with general anesthesia was significantly higher than that of the non-POCD group (CI 1.215c95 CI 1.0038.72P0.05). Conclusion in clinical work, the patients with hip fracture under general anesthesia should pay more attention to the changes of cognitive function after operation, screen the relevant scales in time, find out as soon as possible and intervene as soon as possible.
【作者单位】：浦东新区周浦医院神经内科;浦东新区光明中医医院;
【基金】：浦东新区卫计委资助项目(PW-2015A-27) 上海市卫计委资助项目(20134130) 浦东区科委课题(PKJ2014-Y32)
【分类号】：R614

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