首页|老年患者PCI术后谵妄的回顾性分析

老年患者PCI术后谵妄的回顾性分析

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目的 研究老年患者经皮冠状动脉介入治疗(Percutaneous coronary intervention,PCI)后谵妄的发生率、临床特点及相关危险因素.方法 305例PCI术后患者,32例发生术后谵妄,将其设为谵妄组,随机抽取32例无谵妄症状PCI术后患者作为对照组,采用Logistic回归分析法分析诱发谵妄的危险因素.结果 32例(10.5%)患者在手术后6d内发生谵妄.多因素回归分析显示具有统计学意义的相关因素有既往脑血管病史(OR=15.129;95%CI 2.355~97.183)、房颤病史(OR=32.355; 95%CI 4.330~241.746)及低LVEF值(OR=3.409; 95% CI0.668~17.393).结论 老年PCI术后患者谵妄发生率较高,既往脑血管病史、房颤病史及低LVEF值是PCI术后谵妄的高危因素.
Retrospective analysis of postoperative delirium in elder patients after percutaneous coronary intervention
Objective To investigate the incidence and manifestation of delirium in elder after percutaneous coronary intervention and identify its possible risk factors. Methods Three hundred and five consecutive patients who underwent PCI were enrolled in the study. Risk factors for inducing delirium were analyzed in patients with delirium(n = 32) and without delirium(n=32) by Logistic regression analysis. Results Postoperative delirium was detected in 32 (10. 5%) patients during the first 6 days after surgery. According to multivatiate analysis,significant risk factors for the development of postoperative delirium were cerebrovascular history[odds ratio(OR) = 15. 129,95%CI 2. 355~ 97.183],atrial fibrillation history(OR = 32. 355,95%CI 4. 330~241. 746) and low LVEF(OR = 3. 409.95HCI 0. 668~17. 393). Conclusions The incidence of postoperative delirium in elder after PCI is high. Risk factors like cerebrovascular history, at rial fibrillation history and low LVEF are associated with postoperative delirium in elder after PCL

AngioplastyTransluminalPercutaneous CoronaryDelirium

黄毅雄、李田昌、刘于红、韩文杰

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海军总医院心脏中心,北京100048

海军总医院重症医学部,北京100048

海军总医院干部呼吸内科,北京100048

血管成形术,经腔,经皮冠状动脉 谵妄

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(14)
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