全麻下血管化游离皮瓣修复术后患者谵妄的危险因素.pdfVIP

294 中华麻醉学袈 2010年3月第30卷第3期ChinJAnesthesiol，March2010，V01．30，No．3 ·麻醉并发症· 全麻下血管化游离皮瓣修复术后患者 谵妄的危险因素 杨旭东 刘瑞昌 刘克英 纪志农 樊茹娥 关明 韩芳 高玲 焦亮 【摘要】 目的 筛选全麻下血管化游离皮瓣修复术后患者谵妄的危险因素。方法 择期行血管 化游离皮瓣修复手术的患者216例，年龄18—80岁，根据术后5d内是否发生谵妄分为术后谵妄组和 非术后谵妄组。可能的危险因素进行组间比较后，将差异有统计学意义的因素进行logistic回归分 析，筛选发生术后谵妄的危险因素。结果logistic回归分析结果显示，酗酒、术后睡眠紊乱和高龄是 术后谵妄的独立危险因素(P0．05)，相对危险度依次为17．066，5．647和1．047。结论高龄、酗酒 史和术后睡眠紊乱是全麻下血管化游离皮瓣修复术后患者谵妄的危险因素。 【关键词】谵妄；危险因素 Riskfactorsfor deliriumin aftervascularfree reconstructionunder postoperativepatients flap performed anesthesiaYANG Ru-e，GUAN general Xu-dong，LIURui-chang，LIUKe-ying，J1Zhi-nong，FAN Ming， HAN Fang，GAO Ling，JIAOl_iang．Department矿Anesthesiology，StomatologyHospital，SchoolofStomatology， Peking 100081，China University，B@ing author：LIU CorrespondingRui-chang，Email：lrc425@sohu．corn To theriskfactorsfor deliriumin aftervascular 【Abstract】Objective postoperativepatients investigate free reconstructionunder anesthesia．MethodsTwohundredandsixteenASAI-Ⅲ performed flap general 18-80 vascularfree reconstructionwereenrolledinthis patientsaged yrundergoing flap surgery study．Patient characteristicsbeforeand wererecorded．Thewerefollowedfor5 aftei duringoperation patients up days operation． and wereevaluated were Theirlevelof of dividedinto consciousness，severitypain sleepquality daily．Thepatients 2 totheoccurrencedeliriumthe5 after andnon-delirium groupsaccording of during days operation：deliriumgroup CAM·ICUreedin of delirium．Multivariate