中国老年保健医学2024,Vol.22Issue(1) :115-118.DOI:10.3969/j.issn.1672-2671.2024.01.026

脑卒中后谵妄评估工具的研究进展

Research progress of assessment tools for patients with post-stroke delirium

先丽红 李娟 颜欢 李雨洁 卢婷 郝明青
中国老年保健医学2024,Vol.22Issue(1) :115-118.DOI:10.3969/j.issn.1672-2671.2024.01.026

脑卒中后谵妄评估工具的研究进展

Research progress of assessment tools for patients with post-stroke delirium

先丽红 1李娟 2颜欢 3李雨洁 4卢婷 4郝明青4
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作者信息

  • 1. 贵州医科大学附属医院 550004;遵义医科大学 563003
  • 2. 贵州省人民医院 550001
  • 3. 遵义医科大学 563003
  • 4. 贵州中医药大学 550002
  • 折叠

摘要

脑卒中后谵妄是一种急性脑功能紊乱综合征,特征为急性意识障碍,往往伴有不同程度的认知功能损害、情感障碍、注意力缺损和睡眠周期紊乱,是脑卒中患者的临床常见并发症之一,可引起患者生存质量严重下降、患者的再入院率和病死率增加等风险.目前,国内外有关卒中后谵妄的诊断标准尚未达成统一共识,有关脑卒中后谵妄的发病率报道差异性也较大.然而,国外有关脑卒中后谵妄的研究发展颇为迅速,部分国家已有针对性的预防指南,而我国目前的研究尚处于起步阶段,且研究大多局限于现状调查及危险因素分析,尚未引起医护人员广泛重视.因此,本文旨在通过回顾总结国内外相关研究的文献,从脑卒中后谵妄的诊断、评估工具及危险因素等方面进行阐述,以期能为临床医护人员深入了解有关脑卒中后谵妄评估工具,并深入开展相关研究提供参考.

Abstract

Post-stroke delirium is an acute brain dysfunction syndrome characterized by acute impairment of consciousness,often accompanied by varying degrees of cognitive impairment,affective disorders,attention deficits,and sleep cycle disorders,and is one of the common clinical complications in stroke patients.It can cause a serious decline in the quality of survival,and the risk of increased readmission rate and mortality rate of patients.At present,the diagnostic criteria for post-stroke delirium have not reached a uniform consensus both at home and abroad,and the reported incidence of post-stroke delirium varies widely.However,the research on post-stroke delirium is developing rapidly in foreign countries,and some countries have guidelines for the prevention of post-stroke deliri-um,whereas the research on post-stroke delirium in China is still in its infancy,and most of the studies are limited to the current situ-ation and risk factor analyses,which have not yet attracted the attention of a wide range of healthcare professionals.Therefore,the purpose of this article is to review the literature of relevant studies at home and abroad,and to provide an overview of the diagnosis,assessment tools and risk factors of post-stroke delirium,with a view to providing reference for clinical healthcare professionals to se-lect appropriate assessment tools and conduct in-depth research in the field of post-stroke delirium.

关键词

脑卒中/谵妄/卒中后谵妄/评估工具

Key words

stroke/delirium/post-stroke delirium/assessment tools/research progress

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基金项目

国家自然科学基金资助项目(72364005)

中国疾病预防控制中心公共卫生领域卫生健康标准化前期研究项目(BZ2022-Q042)

出版年

2024
中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
参考文献量41
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